Refractory acute colonic pseudo-obstruction precipitated by meningioma and acute pontine myelinolysis

Abstract

Ogilvie´s syndrome, also defined acute colonic pseudo-obstruction, is characterized by massive dilation of the colon without mechanical obstruction. Although several neurological conditions have been described as associated with acute colonic pseudo-obstruction, there is no previous report of brain tumor and acute pontine myelinolysis precipitating such condition. This is a case report of a man diagnosed with acute colonic pseudo-obstruction precipitated by neurological disturbances. Despite the efforts, the disease was refractory to all conservative measures, requiring surgical intervention. We presented a unique case of refractory acute colonic pseudo-obstruction precipitated by meningioma and central pontine myelinolysis, leading to colonic resection and colostomy.