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


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


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.



  • Maloney N, Vargas HD. Acute intestinal pseudo-obstruction (Ogilvie’s syndrome). Clin Colon Rectal Surg 2005;18(2):96–101.

  • Pereira P, Djeudji F, Leduc P, Fanget F, Barth X. Ogilvie’s syndrome - acute colonic pseudo-obstruction. J Visc Surg 2015;152:99–105.

  • Campbell KA, Madva EN, Villegas AC, Beale EE, Beach SR, Wasfy JH, et al. Non-cardiac chest pain: a review for the consultation-liaison psychiatrist. Psychosomatics 2017;58(3):252–265.

  • Yilmaz A, Sechtem U. Angina pectoris in patients with normal coronary angiograms: current pathophysiological concepts and therapeutic options. Heart 2012;98:1020–1029.

  • Demarchi MS, Regusci L, Fasolini F. Electrocardiographic changes and false-positive troponin I in a patient with acute cholecystitis. Case Rep Gastroenterol 2012;6:410–414.

  • Patel K, Chang NL, Shulik O, DePasquale J, Shamoon F. Small bowel obstruction mimicking acute ST-elevation myocardial infarction. Case Rep Surg 2015;2015:739147.

  • Parikh M, Amor MM, Verma I, Osofsky J, Paladugu M. Small bowel obstruction masquerading as acute ST elevation myocardial infarction. Case Rep Cardiol 2015;2015:685039.

  • Ozeki M, Takeda Y, Morita H, Miyamura M, Sohmiya K, Hoshiga M, et al. Acute cholecystitis mimicking or accompanying cardiovascular disease among Japanese patients hospitalized in a Cardiology Department. BMC Res Notes 2015;8:805.

  • Published: 2020-05-18

    Issue: Vol 7 No 8 (view)

    Section: Articles

    How to cite:
    Abdulazeez, Z., & Tran, U. (2020). Ogilvie’s Syndrome Presented as Angina: A Case Report. European Journal of Case Reports in Internal Medicine, 7(8). https://doi.org/10.12890/2020_001517