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Acute colonic pseudo-obstruction (Ogilvie syndrome) post-renal transplant [Pseudo-obstrucción colónica aguda (síndrome de Ogilvie) post-trasplante renal]

dc.creatorSergio Javier Fernández Ortíz
dc.creatorAlejandro Valdes Cepeda
dc.date2016
dc.date.accessioned2018-10-18T22:08:15Z
dc.date.available2018-10-18T22:08:15Z
dc.identifier.issn16651146
dc.identifier.doi10.1016/j.bmhimx.2016.04.003
dc.identifier.urihttp://hdl.handle.net/11285/630537
dc.descriptionBackground Acute colonic pseudo-obstruction, also known as Ogilvie syndrome, is a rare gastrointestinal syndrome in children. It is characterized by a marked dilatation of the colon evidenced by imaging and absence of mechanical obstruction. Patients typically present with abdominal pain and distended, tympanic abdomen, with peristalsis present, accompanied by nausea and vomiting. Up to 40% of patients can pass gas and/or have bowel movements. We decide to report this case because this syndrome is very rare in pediatric patients, and no cases have been reported in a post-renal transplant pediatric patient. Case report 13 year old male patient with past medical history of psychomotor retardation due to perinatal asphyxia and chronic renal failure secondary to bilateral renal hypoplasia. Treated with peritoneal dialysis for one year until kidney transplant was performed. Currently under immunosuppressive regime. He began his condition with mild abdominal pain accompanied by semi-liquid stools, and progressive distention up to 78 cm of abdominal circumference in 72 hours, so image studies were performed. Managed with prokinetic drugs without any improvement. Two exploratory laparotomies observed flanges, without evidence of any mechanical obstruction. An abdominal magnetic resonance was performed, where important intestinal dilatation was observed with no evidence of mechanical obstruction. Ogilvie Syndrome was diagnosed, so management with neostigmine was established, which led to symptom resolution. Conclusions This case is reported because this syndrome is very rare in children, there is little clinical suspicion and lack of management guides for diagnosis and treatment in patients of this age. © 2016 Hospital Infantil de México Federico Gómez
dc.languageeng
dc.languagespa
dc.publisherMasson-Doyma Mexico, S.A.
dc.relationhttps://www.scopus.com/inward/record.uri?eid=2-s2.0-84991387327&doi=10.1016%2fj.bmhimx.2016.04.003&partnerID=40&md5=23c2c2f59139535dbcb0c49cedce8f10
dc.relationInvestigadores
dc.relationEstudiantes
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0
dc.sourceBoletin Medico del Hospital Infantil de Mexico
dc.subjectneostigmine
dc.subjectabdominal circumference
dc.subjectabdominal pain
dc.subjectadolescent
dc.subjectArticle
dc.subjectcase report
dc.subjectchronic kidney failure
dc.subjecthuman
dc.subjectintestine obstruction
dc.subjectkidney hypoplasia
dc.subjectmale
dc.subjectnausea and vomiting
dc.subjectnuclear magnetic resonance imaging
dc.subjectOgilvie syndrome
dc.subjectperinatal asphyxia
dc.subjectperistalsis
dc.subjectperitoneal dialysis
dc.subjectpsychomotor retardation
dc.subject.classification7 INGENIERÍA Y TECNOLOGÍA
dc.titleAcute colonic pseudo-obstruction (Ogilvie syndrome) post-renal transplant [Pseudo-obstrucción colónica aguda (síndrome de Ogilvie) post-trasplante renal]
dc.typeArtículo
dc.identifier.volume73
dc.identifier.issue4
dc.identifier.startpage250
dc.identifier.endpage255
refterms.dateFOA2018-10-18T22:08:15Z


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