# Management Strategies for Refractory Ogilvie’s Syndrome: A Case Report of Extensive Colonic Ileus in a Critically Ill 65-Year-Old Patient

## TL;DR

This case report discusses the management of Ogilvie’s syndrome in a critically ill 65-year-old patient with extensive colonic ileus.

## Contribution

The paper contributes a real-world case and analysis of management strategies for a complex and rare gastrointestinal condition.

## Key findings

- The patient developed extensive colonic ileus following prolonged hospitalization.
- Various management strategies were explored to address the condition in a critically ill patient.

## Abstract

Ogilvie’s syndrome is characterized by acute dilatation of the colon without any anatomic obstruction. It presents with signs and symptoms of small or large bowel obstruction. The management could be challenging, especially in critically and chronically ill patients. We present a case of a 65-year-old male patient who developed extensive colonic ileus following prolonged hospitalization. We discuss different management strategies that we adopted.