A rare instance of Ogilvie syndrome in a pediatric patient with a complex medical history: A case report.

Acute colonic pseudo-obstruction or Ogilvie's syndrome is an acute dilatation of the large bowel without an obstructive lesion. Symptoms include abdominal distension, nausea and vomiting, constipation, and occasional dyspnea. The disorder most commonly involves the cecum and right colon and is most frequently seen in male patients above the age of 60. It is rare for Ogilvie's to occur in the pediatric population though some infrequent instances have been reported. Here, we report a case of a patient with significant abdominal distension and gaseous distension seen on X-ray, which was diagnosed and treated as Ogilvie's syndrome. He was unresponsive to conservative and medical management and ultimately required endoscopic decompression.