What question did this study set out to answer?

To discuss a case of Ogilvie’s syndrome occurring in a patient with decompensated liver cirrhosis due to chronic hepatitis B.

May 14, 2026International Medical Case Reports Journal0 citationsOpen Access

Acute Colonic Pseudo-Obstruction (Ogilvie’s Syndrome) in a Patient with Decompensated Liver Cirrhosis Secondary to Chronic Hepatitis B

EMEdema MansurArua Regional Referral Hospital ABAmon BanturakiKampala International University

Key Points

To discuss a case of Ogilvie’s syndrome occurring in a patient with decompensated liver cirrhosis due to chronic hepatitis B.
Case presentation of a 65-year-old male with chronic hepatitis B and decompensated liver cirrhosis.
Analysis of clinical course, diagnostic workup, and management strategies for acute colonic pseudo-obstruction.
Discussion on the significance of electrolyte abnormalities, particularly hypokalemia, in the condition.
Effective management of acute colonic pseudo-obstruction was achieved after addressing electrolyte imbalances.
Patient had a history of multiple comorbidities that complicated the clinical approach.
Recognizing Ogilvie’s syndrome early improved the overall outcome for the patient.

Abstract

Abstract: We present the case of a 65-year-old male with a history of chronic Hepatitis B and decompensated liver cirrhosis who developed acute colonic pseudo-obstruction (Ogilvie’s syndrome) secondary to electrolyte abnormalities. The patient’s clinical course, diagnostic workup, management, and outcome are discussed, highlighting the importance of recognizing and managing this rare but serious complication in patients with multiple comorbidities. Keywords: acute colonic pseudo-obstruction, Ogilvie’s syndrome, hypokalemia, hepatitis B, liver cirrhosis

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