Ogilvie’s Syndrome Presented as Angina: A Case Report
  • Zakariya Abdulazeez
    Department of Acute Medicine, Medway Maritime Hospital, Kent, UK
  • Uyen Tran
    Department of Acute Medicine, Medway Maritime Hospital, Kent, UK

Keywords

Chest pain, acute coronary syndrome, Ogilvie’s syndrome, pseudo-obstruction of the colon

Abstract

Ogilvie’s syndrome is a non-mechanical, acute pseudo-obstruction of the colon, causing massive colonic dilation. Medical or surgical conditions can predispose patients to Ogilvie’s syndrome; however, the pathogenesis and clinical findings are still not well understood. Here, we present a case of a 48-year-old male patient who presented to the Emergency Department with intermittent self-resolved left-sided lower chest pain on a background of ischaemic heart disease and positive risk factors for acute coronary syndrome. Troponin testing was negative and an electrocardiogram showed no acute changes. Chest radiography showed a dilated bowel under the left hemidiaphragm and a computed tomography (CT) scan of the abdomen-pelvis confirmed the diagnosis of Ogilvie’s syndrome. The patient was treated conservatively with a short period of nil by mouth and intravenous fluids.

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    Published: 2020-05-18
    Issue: 2020: Vol 7 No 8 (view)


    How to cite:
    1.
    Abdulazeez Z, Tran U. Ogilvie’s Syndrome Presented as Angina: A Case Report. EJCRIM 2020;7 doi:10.12890/2020_001517.