# Perioperative Management of a Hip Fracture Complicated With Acute Colonic Pseudo-Obstruction (Ogilvie's Syndrome): A Case Report

**Authors:** Hamza Zemrani, Larbi Aberouch, Salim Chajai, Jawad Tadili, Mohammed Ali Ech-cherif el Kettani, Mamoun Faroudy

PMC · DOI: 10.7759/cureus.86926 · Cureus · 2025-06-28

## TL;DR

This case report discusses the management of a hip fracture complicated by a rare condition called Ogilvie's syndrome, emphasizing the need for timely diagnosis and treatment.

## Contribution

The paper presents a unique case of Ogilvie's syndrome complicating a hip fracture and outlines its perioperative management.

## Key findings

- The patient was treated conservatively for Ogilvie's syndrome before surgery for the hip fracture.
- Timely diagnosis and management are crucial for patients with this rare condition.
- Perioperative challenges were successfully addressed in this case.

## Abstract

Acute colonic pseudo-obstruction (Ogilvie syndrome) is characterized by a marked dilation of the colon in the absence of mechanical obstruction. This rare syndrome can occur in at-risk patients after trauma and in the preoperative period. We report on the case of a patient who presented with acute colonic pseudo-obstruction after a hip fracture, who was treated conservatively for her Ogilvie syndrome and then operated on for the fracture. This report highlights the perioperative challenges related to this condition and the importance of a timely diagnosis and management.

## Linked entities

- **Diseases:** acute colonic pseudo-obstruction (MONDO:0002801), Ogilvie's syndrome (MONDO:0002801), hip fracture (MONDO:0005327)

## Full-text entities

- **Diseases:** dilation of the colon (MESH:D003108), trauma (MESH:D014947), Hip Fracture (MESH:D006620), Colonic Pseudo-Obstruction (MESH:D003112), fracture (MESH:D050723)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12303362/full.md

## References

16 references — full list in the complete paper: https://tomesphere.com/paper/PMC12303362/full.md

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Source: https://tomesphere.com/paper/PMC12303362