A Case of Ogilvie's Syndrome Successfully Treated with Hyperbaric Oxygen Therapy.

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  • 高圧酸素療法が有用であったＯｇｉｌｖｉｅ症候群の１例

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Abstract

Ogilvie's syndrome is acute colonic pseudoobstruction without organic stricture. It is believed that conservative therapy is the first choice. This time, a case of Ogilvie's syndrome for which hyperbaric oxygen therapy was useful is reported. A 69-year-old woman was seen at the hospital because of abdominal pain and abdominal distention in May, 1996. She had previous histories of undergoing oophorectomy at 29 years old and being pointed out atrial septal defect and Eisenmenger syndrome at 60 years old and undergoing operation of left obturator hernia at 65 years old. Abdominal X-ray film demonstrated prominent gaseous distention of the colon. With an abdominal CT scan, left incarcerated obturator hernia was diagnosed and an emergency operation was performed. At laparotomy, although a hernia sac was confirmed in the left obturator foramen, no incarceration of the intestine was revealed and only remarkable dilation of the colon was present. From these findings, the definite diagnosis of Ogilvie's syndrome was made. Hyperbaric oxygen therapy was started on the 4th postoperative day, and remissions in both subjective and objective abdominal distention were attained. Hyperbaric oxygen therapy is thought to be an effective therapy for Ogilvie's syndrome.

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