Ogilvie Syndrome: A Therapeutic Challenge.

Ogilvie syndrome, or acute colonic pseudo-obstruction, is a rare disorder characterized by colonic dilation without mechanical obstruction. It primarily affects elderly or hospitalized patients and can lead to serious complications, including ischemia and perforation. Management typically begins with conservative measures, but refractory cases may require endoscopic or pharmacologic interventions. Current literature lacks robust evidence to guide the optimal therapeutic approach. We present a case that demonstrates practical management strategies, mitigates therapeutic inertia, and supports continuous medical education.