A Rare Case of Ogilvie’s Syndrome in a Pediatric Patient with a Complex Medical History

Authors

Kirby Lampe, Children's Mercy Kansas CityFollow
Victoria Sarata, Children's Mercy Kansas CityFollow
Aileen Har, Children's Mercy Kansas CityFollow

Publication Date

11-2025

Files

Abstract

Acute colonic pseudo-obstruction (ACPO) or Ogilvie’s syndrome is an acute dilatation of the small or large bowel without an obstructive lesion. Symptoms include abdominal distension, nausea and vomiting, constipation and occasional dyspnea. The disorder most commonly involves the cecum and right colon and is most frequently seen in male patients above the age of 60 (1). It is rare for Ogilvie’s to occur in the pediatric population though some infrequent instances have been reported. Here, we report a case of a patient with significant abdominal distension and gaseous distension seen on x-ray, which was diagnosed and treated as Ogilvie’s syndrome. He was unresponsive to conservative and medical management and ultimately required endoscopic decompression.

Disciplines

Gastroenterology | Pediatrics

Notes

Presented at the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) 2025 Annual Conference; Chicago, IL; November 5-8, 2025.

Recommended Citation

Lampe, Kirby; Sarata, Victoria; and Har, Aileen, "A Rare Case of Ogilvie’s Syndrome in a Pediatric Patient with a Complex Medical History" (2025). Posters. 493.
https://scholarlyexchange.childrensmercy.org/posters/493