Ogilvie’s Syndrome Complicating a Hemorrhagic Stroke of Brainstem

Ogilvie first described Ogilvie’s syndrome in 1948. This entity is also known as paralytic ileus of the colon, adynamic ileus of the colon, neurological disease causing damage to the central nervous system was identified as an important independent risk factor we reported a 52-year-old Moroccan man from, without history, one after his admission for hemorrhagic stroke of brain stem. He developed abdominal discomfort. Plain abdominal radiography showed diffuse bowel loop dilation and computed tomography showed marked bowel loop dilation and colonic gas. We diagnosed acute pseudo-obstruction of the colon (Ogilvie syndrome) and we decided to use colonoscopic decompression followed by Intravenous neostigmine was given under cardiac monitorization, with good Results.