# Ogilvie's Syndrome in a Male With Bladder Cancer

## TL;DR

This case report describes a male with bladder cancer who developed Ogilvie's syndrome, a condition causing severe colon distention without blockage.

## Contribution

The novelty lies in presenting a rare case of Ogilvie's syndrome in a bladder cancer patient, highlighting its management and clinical course.

## Key findings

- The patient exhibited massive colon dilatation without obstruction, consistent with Ogilvie's syndrome.
- Supportive care, including decompression and total parenteral nutrition, was used to manage the condition.
- The case emphasizes the importance of recognizing and treating Ogilvie's syndrome to prevent bowel complications.

## Abstract

Ogilvie's syndrome is characterized by massive distention of the colon without evidence of physical obstruction. This condition can present itself with abdominal distention that is difficult to treat and can lead to ischemia of the bowels and, ultimately, bowel perforation. Treatment is aimed at supportive care with decompression, intravenous fluid hydration, and symptom control. This is a case presentation of Ogilvie's syndrome in an 80-year-old male with bladder cancer. He presented with abdominal distention and was found to have massive dilatation of his colon without evidence of obstruction on a CT scan. He was managed with supportive care, including stool softeners, and ultimately placed on total parenteral nutrition.