Ogilvie Syndrome, Bradycardia, and Neostigmine.

Clin Med Insights Case Rep

Family and Community Medicine, WellSpan Good Samaritan Hospital, Lebanon, PA, USA.

Published: July 2023

AI Article Synopsis

  • Acute colonic pseudo-obstruction (ACPO), also called Ogilvie Syndrome, involves the colon swelling without a physical blockage.
  • Neostigmine is used as a treatment for ACPO but has certain contraindications.
  • The report discusses a specific case where a patient with a heart condition and a pacemaker was treated with neostigmine for ACPO in the ICU.

Article Abstract

Acute colonic pseudo-obstruction (ACPO), known as Ogilvie Syndrome, is an acute dilation of the colon in the absence of an underlying mechanical or anatomic cause. Neostigmine treatment is indicated following failed conservative management of ACPO, however neostigmine has its contraindications. This is a report of a unique case of a patient with a past medical history of symptomatic first degree heart block with a permanent pacemaker who received a bolus dosage of neostigmine treatment for ACPO in an ICU setting.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10338651PMC
http://dx.doi.org/10.1177/11795476231184929DOI Listing

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