Pseudo-obstrucción colónica aguda (síndrome de Ogilvie) post-trasplante renal Acute colonic pseudo-obstruction, also known as Ogilvie syndrome, is a rare. 21 Oct massive colonic dilatation in the absence of mechanical obstruction.2 ACPO is also referred to as acute colonic ileus or Ogilvie’s syndrome. Presentamos un caso de dilatación aguda idiopática del colon –síndrome de Ogilvie– en un anciano. Es una entidad clínica no infrecuente que se caracteriza .
|Published (Last):||4 September 2015|
|PDF File Size:||1.54 Mb|
|ePub File Size:||19.83 Mb|
|Price:||Free* [*Free Regsitration Required]|
The targets of the enteric neurons are muscle cellssecretory cells, endocrine cellsmicrovasculatureand inflammatory cells. Normal colonic motility requires integration of myogenic, sindroms, and hormonal influences. Therefore, there is little clinical suspicion and lack of management guidelines for diagnosis and treatment of patients of this age.
In this patient, the maximal dose was nearly administered, 0. As sindromee days went by and despite management with trimebutine, the pain and abdominal distention persisted without improvement. Ogilvie syndrome is the acute dilation of the colon in the absence of any mechanical obstruction in severely ill patients. Trimebutine spasmolytic was also prescribed to the patient due to the antiserotoninergic activity, but there are no reports in the literature which associate this drug to acute colonic pseudo-obstruction.
Clinical cases We present the clinical data, surgical findings and evolution of three patients operated on for large lumbar disc herniation. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. A contrast-enhanced abdominal tomography was performed, where only dilated intestinal loops and a kidney graft in a good state were observed. A new clinical syndrome”. At 11 years of age, he was diagnosed with chronic kidney disease caused by bilateral renal hypoplasia, which was treated with peritoneal dialysis until the age of 12 years.
An erect plain abdominal film. An abdominal AP supine radiograph. An unusual case of Ogilvie syndrome in a pediatric oncology patient receiving palliative care after failed treatment with neostigmine.
Proctitis Radiation proctitis Proctalgia fugax Rectal prolapse Anismus. Diseases of the digestive system primarily K20—K93— Neostigmine is a parasympathomimetic reversible acetylcholinesterase inhibitor, which is believed sindeome increase colonic contractility by stimulating the parasympathetic nervous system.
An exploratory laparotomy was performed. Author links open overlay panel S.
Ogilvie syndrome – Wikipedia
The authors declare that no patient data appear in this article. This syndrome is very rare in pediatric patients, and no cases have been reported in a post-renal transplant pediatric patient. Retrieved from ” https: A year-old man with abdominal distention ohilvie shock”. A consultation with pediatric gastroenterology was solicited, who suspected an acute colonic pseudo-obstruction, for which 1.
Archived from the original on Background Acute colonic pseudo-obstruction, also known as Ogilvie syndrome, is a rare gastrointestinal syndrome in children. ogilviw
Page not available
Imaging studies, including magnetic resonance and intestinal transit, did not reveal signs of obstruction either. Views Read Edit View history. The use of neostigmine is not without risk since it can induce bradyarrhythmia and bronchospasms.
Given that Ogilvie’s syndrome is infrequent, especially in pediatric patients, there is little sidrome suspicion.
The initial treatment includes bowel rest, intravenous fluids, electrolyte imbalance correction, stopping the administration of drugs that affect intestinal motility and decompression with a nasogastric tube. Two exploratory laparotomies observed flanges, without evidence of any mechanical obstruction. A magnetic resonance enterography was performed in which an important dilatation of the small and large intestine was observed, with abundant fluid within, without any signs of mechanical obstruction Fig.
During his hospital stay, the patient presented clinical improvement, with a progressive decrease in abdominal distention and symptoms, as well as a progressive improvement of oral intake. In the management of Ogilvie’s syndrome, neostigmine has evidence of efficacy from multiple studies.