PMC5763052_01
Stepwise approach to Ogilvie's syndrome.
CRIOG2017-5328160.002.jpg
PMC5763052_01_CRIOG2017-5328160.002.jpg
fig2
Abdominal X-ray was performed and showed distended abdomen with pneumoperitoneum (see Figures 1(a) and 1(b)). There was gangrenous changes of the caecum and right colon with its anterior wall showing multiple ischemic areas and necrosis; some of them are perforated with gross picture of ischemic changes, others thinned out and were about to perforate in subhepatic area; right hemicolectomy and iliostomy were performed till the area of normal color of the colon was reached (see Figures 1(c) and 1(d)).