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X-ray examination results 20 h after admission revealed residual radiopaque dye used for computed tomography (CT) in the dilated bladder

X-ray examination results 20 h after admission revealed residual radiopaque dye used for computed tomography (CT) in the dilated bladder

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Background Acute colonic pseudo-obstruction (ACPO) is a rare condition observed in patients with some underlying medical or surgical conditions. To the best of our knowledge, this is the first case report of a patient with ACPO development and rapid septic progression after laparoscopic inguinal hernia repair. Case presentation A 78-year-old man w...

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... ACPO is often secondary to underlying diseases such as surgery, infection, toxic diseases, drugs, cardiac diseases, trauma, and cerebrovascular disorders [1,2]. Most of the surgical cases have been reported after cesarean sections, pelvic surgery, or cardiac surgery [1,2], and a few cases have occurred after laparoscopic surgery [3][4][5]. In this report, we present a case of an 83-year-old male who developed ACPO following laparoscopic surgery for recurrent sigmoid volvulus. ...
... It predominantly affects males aged 60 years or older and is often precipitated by underlying factors such as surgery, infection, toxic diseases, drugs, cardiac disease, trauma, and cerebrovascular disease [1,2]. Although most cases have been reported following major surgeries, such as coronary artery bypass, organ transplantation, cesarean delivery, and orthopedic procedures, few reports link ACPO to laparoscopic or robot-assisted surgery [3][4][5]. ...
Article
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Acute colonic pseudo-obstruction (ACPO) is characterized by significant colonic distension without a mechanical obstruction. We present a case of an 83-year-old male who developed ACPO following laparoscopic surgery for sigmoid volvulus. This report details the patient's postoperative journey, highlighting the diagnostic and management challenges encountered. Despite various medical interventions, the patient's condition necessitated further surgical attention due to complications. This case underscores the importance of early diagnosis and aggressive management in ACPO to prevent life-threatening consequences and improve patient outcomes.