MediAI

  Abstract Ogilvie’s syndrome, also known as acute colonic pseudo-obstruction (ACPO), is a rare but potentially life-threatening condition characterized by acute colonic dilatation in the absence of mechanical obstruction. This column presents a comprehensive, expert-level review integrating clinical case insights, imaging interpretation, and current global literature. Emphasis is placed on pathophysiology, epidemiology, diagnostic imaging, and evidence-based management strategies, structured in the format of a biomedical review. Keywords Ogilvie’s syndrome, acute colonic pseudo-obstruction, colonic dilatation, CT imaging, bowel obstruction, neostigmine, colonoscopic decompression I. Introduction Ogilvie’s syndrome is a critical gastrointestinal emergency that mimics mechanical bowel obstruction but lacks any obstructive lesion. First described by Sir William Ogilvie in 1948, this syndrome is increasingly recognized in hospitalized and critically ill patients. Failure to promptly ...

  AI-Assisted Radiologic Diagnosis, Clinical Management, and Surgical Outcomes in Hiatal Hernia Meta Description AI-assisted diagnosis of Paraesophageal Hernia using radiography and upper GI imaging. Expert review of pathophysiology, epidemiology, imaging findings, differential diagnosis, treatment strategies, and prognosis with clinical case analysis. Abstract Artificial Intelligence (AI) is rapidly transforming modern medical diagnostics, particularly in radiology and gastroenterology. Machine learning–driven image analysis enables earlier detection of complex structural abnormalities such as Paraesophageal Hernia (PEH) , a rare but potentially life-threatening form of hiatal hernia. This expert-level review analyzes a clinical case involving a symptomatic paraesophageal hernia confirmed through chest radiography and upper gastrointestinal contrast imaging. The article explores the pathophysiology, epidemiology, clinical presentation, imaging characteristics, differential diag...