Increasing age, cecal diameter, delay in decompression, and status of the bowel significantly influence mortality, which is approximately 40% when ischemia or perforation is present. [ncbi.nlm.nih.gov]

• Abdominal Pain

  Gastrointestinal symptoms such as nausea, abdominal pain, and diarrhea without fever are common in patients treated with mycophenolate mofetil. [ncbi.nlm.nih.gov]

  A few days after admission, abdominal pain with marked abdominal distention developed. There was no fever or leukocytosis. [nejm.org]

  On the second Postoperative Day (POD), she had abdominal distension and no flatus. Although she had not any abdominal pain firstly. Therefore she was treated with Disodium phosphate. [austinpublishinggroup.com]

  He had not experienced similar pain in the past. There was no history of prior abdominal surgery. On examination, the patient was afebrile and in moderate distress due to his abdominal pain. [accessemergencymedicine.mhmedical.com]

• Abdominal Distension

  The most common symptoms are abdominal distension with mild to moderate abdominal discomfort; however, massive abdominal distension with mild to moderate tenderness is evident upon clinical examination. [ijcasereportsandimages.com]

  Abdominal distension and pain were the commonest symptoms, followed by vomiting. Fever was common in patients with perforation. [ncbi.nlm.nih.gov]

  Firstly, we examined her and she has hard abdominal distension with severely abdominal tenderness like the clinical evidence of peritonitis. A plain abdominal film and abdominal ultrasound was done. [austinpublishinggroup.com]

• Abdominal Bloating

  During a physical exam, the health care provider will most often see abdominal bloating. [medlineplus.gov]

  Symptoms Symptoms include: Abdominal pain Bloating Constipation Nausea and vomiting Swollen abdomen ( abdominal distention ) Weight loss Exams and Tests During a physical exam, the health care provider will most often see abdominal bloating. [mountsinai.org]

  Common symptoms of Ogilvie syndrome include abdominal swelling (distention) and bloating, abdominal pain, nausea and vomiting. Some individuals have a history of chronic, sometimes severe constipation. [rarediseases.org]

  Criteria for CCPO include symptoms of recurrent bowel obstruction in the last 6 months, abdominal bloating and/or pain in the previous 3 months, evidence of bowel obstruction on radiographic imaging, and no evidence of anatomic/structural abnormality. [emedicine.medscape.com]

• Absent Bowel Sounds

  On third day of admission, he developed progressive abdominal distension with absent bowel sounds. Plain radiographs showed features consistent with ACPO. [ijccm.org]

  Abdomen was distended, moves with respiration, tympanitic to percussion, non-tender, absent bowel sounds. Per rectal examination showed full rectum. [ghrnet.org]

  Physical examination in the uncomplicated situation typically reveals a tympanic, non‐tender abdomen, with high‐pitched ‘tinkling’, reduced or absent bowel sounds. [bjssjournals.onlinelibrary.wiley.com]

• Abdominal Girth Increased

  Abdominal girth increased from 49 to 54.9 cm. Rectal examination showed ballooning of the rectum without fecal impaction. [journals.lww.com]

• Psychomotor Retardation

  Case report A 13-year-old male patient with a medical history of psychomotor retardation due to perinatal asphyxia and chronic renal failure secondary to bilateral renal hypoplasia was treated with peritoneal dialysis for one year until kidney transplantation [elsevier.es]

• Bowel Distention

  While we might not start neostigmine in the ED for this, it is good to know conservative management and bowel decompression are important to start as soon as the bowel distention is noted. [pedemmorsels.com]

• X-Ray Abnormal

  On abdominal X-rays, the small intestine is considered to be abnormally dilated when the diameter exceeds 3 cm.[8][9] On CT scans, a diameter of over 2.5 cm is considered abnormally dilated.[8][10] The surface area of the human small intestinal mucosa [en.wikipedia.org]

• Hyponatremia

  Case An 80-year-old woman with Stage 4 small cell lung cancer was admitted to an acute medical ward with severe back pain related to an osteoporotic compression fracture, constipation, and hyponatremia. [jpsmjournal.com]

  (ex, hyponatremia) Conservative therapies are preferred: [ Shukla, 2007 ] Bowel rest Nasogastric decompression Rectal tube decompression (if distention extends to sigmoid region) Discontinue offending medications Medications: Neostigmine [Hooten, 2014 [pedemmorsels.com]

The aim of the present review is to outline current perspectives in the pharmacological treatment of patients with acute colonic pseudo-obstruction. [ncbi.nlm.nih.gov]

As a result of this complication the prognosis worsens. Initially there are few clinical symptoms, but subsequently colonic obstruction develops which, if not treated, can cause perforation of the caecum resulting in a high mortality rate. [ncbi.nlm.nih.gov]

[…] ischemia Treatment Treat any underlying medical conditions Rectal tube decompression Colonoscopic decompression Medications such as Neostigmine Rarely, surgical decompression such as cecostomy Complications Can lead to ischemic of bowel and perforation Prognosis [learningradiology.com]

Treatment and prognosis Treatment involves correction of the underlying disorder and correction of any biochemical abnormalities. Medical treatment options include anticholinesterases like neostigmine and antibiotics like erythromycin. [radiopaedia.org]

Its occurrence following extensive paraaortic dissection in this case but no report so far of its occurrence after routine radical hysterectomy supports the most commonly proposed etiology of disturbed splanchnic nerve supply to the colon as a cause. [ncbi.nlm.nih.gov]

ETIOLOGY BEDRIDDEN11/21/2012 6 7. ETIOLOGYNEUROLOGICAL CARDIO RESPIRATORYDISORDERS INSUFFICIENCY11/21/2012 7 8. ETIOLOGY METABOLIC DISTURBANCES11/21/2012 8 9. ETIOLOGY SEVERE CONSTIPATION11/21/2012 9 10. ETIOLOGY MALIGNANCY11/21/2012 10 11. [slideshare.net]

[…] article=2286& amp;amp;Codelang=en Indexing Status Subject indexing assigned by NLM MeSH Acute Disease; Cecostomy /statistics & Colonic Pseudo-Obstruction /complications /epidemiology /therapy; Colonoscopy /statistics & Endoscopy /statistics & Humans; [crd.york.ac.uk]

Epidemiology It is a rare condition and the incidence rate is not actually known. Males are more commonly affected than females. Oglivie's syndrome is more common in the elderly. [patient.info]

Management of Chronic Peripheral Arterial Occlusive Disease 1811 Visceral Artery Occlusive Disease Mesenteric Occlusive Disease 1827 Acute Arterial Occlusions 1837 Venous and Lymphatic Disease 1847 Vascular Access for Hemodialysis 1861 The Diabetic Foot Epidemiology [books.google.com]

An epidemiologic survey of chronic intestinal pseudo-obstruction and evaluation of the newly proposed diagnostic criteria. Digestion. 2012. 86(1):12-9. [Medline]. Saunders MD. Acute colonic pseudo-obstruction. [emedicine.medscape.com]

Typically, rapid-onset abdominal distension begins within a few days of the onset of the underlying illness. 2 Because ACPO is uncommon, one must look at reviews that examine several years of reported cases to be able to draw conclusions about the epidemiology [clinicalgate.com]

Its aetiology and pathophysiology remains poorly understood and patients are still treated inappropriately. In this report, a patient with acute colonic pseudo-obstruction managed surgically is presented. [ncbi.nlm.nih.gov]

PATHOPHYSIOLOGY • Acute megacolon develops because of abnormal intestinal motility.11/21/2012 15 16. PATHOPHYSIOLOGY• Acute megacolon can also lead to ischemic necrosis in massively dilated intestinal segments. [slideshare.net]

Early recognition of signs and symptoms of this condition and prompt accurate management are vital to prevent serious mortality. [ncbi.nlm.nih.gov]

Prevention of bacterial endocarditis. ‏ [books.google.com]