Question

Ogilvie's syndrome most commonly involves -

• A. Stomach
• B. Colon
• C. Gallbladder
• D. Small intestine

Hint:

Pseudo-obstruction in the name points to the large bowel.

Answer 1

The Correct Option is B

Step 1: Ogilvie's syndrome is also called acute colonic pseudo-obstruction (ACPO). It mimics a true large-bowel obstruction clinically and on imaging, but there is no mechanical cause blocking the lumen.

Step 2: As the name pseudo-obstruction of the COLON suggests, it most commonly involves the colon. The large bowel becomes massively dilated, with marked cecal distension being a typical radiographic feature. So option (b) is correct.

Step 3: It usually arises in hospitalised or bedridden patients and is linked to narcotic use, immobility and serious co-morbid illness. If left undecompressed, the dilated colon risks perforation, peritonitis and death.

Step 4: The stomach, gallbladder and small intestine are not the primary site, which confirms the colon as the answer.