medigraphic.com
ISSN 2992-8559 (Electronic)
ISSN 1405-0625 (Print)

2021, Number 3

<< Back Next >>

Cir Plast 2021; 31 (3)

Ogilvie syndrome in a burned patient

Tamez-Pedroza L, Peñarrieta-Daher E, Facio-Treviño JÁ, García-Pérez MM

Language: Spanish
References: 10
Page: 107-110
PDF size: 246.99 Kb.


ABSTRACT

Acute pseudo-obstruction of the colon, known as Ogilvie syndrome, is a rare condition characterized by acute dilation of the colon in the absence of mechanical obstruction. This presentation of intestinal pseudo-occlusion is linked to with several etiologies and a connection with burns and severe patients has been reported; hence, it is important to know this disease and its management. The case of a 39-year-old woman with a history of type 2 diabetes mellitus, hypertension and hypothyroidism is presented. She went to the emergency room with superficial and deep second and third degree burns on her face, right arm, and circumferential lower extremities, with a 24% extent of burns of the total body surface. After 48 hours of hospitalization, she began with abdominal pain and bloating. X-rays were taken that showed intestinal distention, which was the reason for performing a contrasted abdominal computed tomography. This showed colon distention, without any evidence of mechanical obstruction. She was managed conservatively, with good results.


REFERENCES

  1. Ogilvie H. Large-intestine colic due to sympathetic deprivation a new clinical syndrome. Br Med J 1948; 2 (4579): 671-673.

  2. Vanek VW, Al-Salti M. Acute pseudo-obstruction of the colon (Ogilvie?s syndrome). Dis Colon Rectum 1986; 29 (3): 203-210.

  3. Navas Nadukkandiyil, Hanadi Khamis Alhamad, Luay Abdel Wahab, Essa Mubarak Al Sulaiti AS. Acute intestinal pseudo-obstruction (Ogilvie's syndrome): a case report. J Clin Gerontol Ger 2014; 5 (4):140-142.

  4. Kadesky K, Purdue GF, Hunt JL. Acute pseudo-obstruction in critically ill patients with burns. J Burn Care Rehabil 1995; 16 (2): 132-135.

  5. Wells CI, O'Grady G, Bissett IP. Acute colonic pseudo-obstruction: a systematic review of aetiology and mechanisms. World J Gastroenterol 2017; 23 (30): 5634-5644.

  6. Tsoutsos D, Tsakou EG, Lykoudis E, Stamatopoulos C, Tatoulis R, Ioannovich J. Acute colonic pseudo obstruction (Ogilvie's syndrome) - a rare complication of severe thermal injury. Report on two cases. Ann Burn Fire Dis 1999; 12 (2): 1-6.

  7. Siah S, Seddik H, Ababou K, Ihrai H, Drissi Kamili N. The Ogilvie syndrome in a severely burned patient. Ann Burn Fire Dis 2011; 24 (3): 157-159.

  8. Caner H, Bavbek M, Albayrak A. Ogilvie's syndrome as a rare complication of lumbar disc surgery. Can J Neurol Sci 2000; 27 (1): 77-78.

  9. MacColl C, MacCannell KL, Baylis B, Lee SS. Treatment of acute colonic pseudoobstruction (Ogilvie's syndrome) with cisapride. Gastroenterology 1990; 98 (3): 773-776.

  10. Saunders MD, Kimmey MB. Systematic review: acute colonic pseudo-obstruction. Aliment Pharmacol Ther 2005; 22 (10): 917-925.




2020     |     www.medigraphic.com