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

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.