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Asian Journal of Orthopaedic Research, .,Vol.: 2, Issue.: 1

Case Study

Fatal Late Onset Ogilvie’s Syndrome Causing Cecal Perforation after Unilateral Total Knee Arthroplasty


Arun Agarwal1*, Neeraj Somani1, Hemendra Sharma1 and Abhishek Chandra2

1Department of Internal Medicine, Fortis Escorts Hospital, Jaipur, Rajasthan, India.

2Department of Orthopedics, SMS Medical College, Jaipur, India.

Article Information


(1) Dr. Ikem, Innocent Chiedu, Professor, Department of Orthopaedic Surgery and Traumatology,  Obafemi Awolowo University, Ile-Ife, Nigeria.


(1) Anastasios J. Karayiannakis, Democritus University of Thrace, Medical School Alexandroupolis, Greece.

(2) Loveness Nkhata, University of Zambia, Zambia.

Complete Peer review History: http://www.sdiarticle3.com/review-history/46316


Acute colonic pseudo-obstruction (Ogilvie's syndrome) is a disorder characterized by acute dilatation of the colon in the absence of an anatomic lesion that obstructs the flow of intestinal contents. It is characterized by massive dilatation of the cecum and right colon on abdominal X-ray. The main clinical feature in patients with acute colonic pseudo-obstruction is abdominal distension. We present a case of an elderly male who developed late Ogilvie’s syndrome after a month of unilateral total knee arthroplasty (TKA). He was managed conservatively but later developed cecal perforation and was operated upon. However he succumbed to his illness. The diagnosis and management of the case and Ogilvie’s syndrome is discussed.

Keywords :

Total knee arthroplasty; abdomen distention; Ogilvie’s syndrome; bowel dilatation; cecal perforation.

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