GANESHA MEDICINA
Vol. 6 No. 2 (2026):

Ogilvie’s Syndrome in A Young Adult with HIV Infection: A Case Report

I Made Gede Dwipayana Putra (Medical Doctor, Internal Medicine Department, Wangaya General Hospital)
Ketut Suryana (Internal Medicine Specialist, Interna Medicine Department, Wangaya General Hospital)



Article Info

Publish Date
15 Jul 2026

Abstract

Acute colonic pseudo-obstruction, known as Ogilvie’s syndrome, is a condition characterized by acute colonic dilation in the absence of mechanical obstruction. Primary clinical feature is abdominal distension. Abdominal pain is present in 80% of cases, followed by nausea and vomiting in approximately 60%. Diagnosis can be found from clinical symptoms, laboratory tests, and radiological imaging. Plain abdominal X-ray is a good diagnostic tool. A 27-year-old male patient was hospitalized at district hospital with complaints of fever for 2 days before admission, previously fever for 2 weeks, accompanied by abdominal pain, inability to fart and defecate in the last 4 days, abdominal distension previously existed. Laboratory examination found anemia, leukopenia, thrombocytopenia, hyponatremia and hypokalemia. Plain abdominal X-ray examination found a colonic dilatation with an impression of adynamic ileus. Ogilvie’s Syndrome is a clinical condition characterized by abdominal distension and dilation of the colon. This condition can occur at younger age, especially in those with serious medical conditions or a history of surgery. In this 27-year-old male patient, he had a serious medical condition, HIV, which caused a compromised immune system, which could be the reason of Ogilvie’s Syndrome. HIV/AIDS is a chronic immune system disorder that causes various multi-organ manifestations, has very serious consequences and can develop to Ogilvie’s Syndrome.

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Journal Info

Abbrev

GM

Publisher

Subject

Health Professions Medicine & Pharmacology Public Health

Description

Ganesha Medicina Journal is open access; double-blinded peer-reviewed journal aiming to communicate high-quality research articles, case report, reviews and general articles in the field. Ganesha Medicina Journal publish articles that encompass all aspects of basic research/clinical studies related ...