Clozapine induced Ogilvie's syndrome

We report a case of clozapine induced acute intestinal pseudo obstruction (also known as ogilvie's syndrome) in a 54-year female with a history significant for multiple psychiatric disorders. the diagnosis was made after a challenging clinical presentation where collaboration between multiple medical services resulted in reaching a unified diagnosis. the diagnosis was established based on multiple radiological imaging modalities and confirmed by a documented response to colonic decompression through colonoscopy and discontinuation of the offending medication.