Acute colonic pseudo-obstruction (Ogilvie syndrome) post-renal transplantation

Escurra, Erik Antonio Mier; Prieto, Talia Díaz; Ortiz, S.; Saad, G.; Cepeda, Alejandro Valdés

doi:10.1016/j.bmhime.2016.04.002

Cited by 3 publications

(1 citation statement)

References 6 publications

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“…In transplant patients, the most common intraperitoneal infections include[ 3 ]: (1) Acute cholecystitis, which is the most common and occurs mainly after heart (72%), lung and kidney (30%) transplantations; (2) acute diverticulitis, which occurs mainly after kidney and liver transplantation and exhibits a more severe course than in otherwise healthy people; (3) perforation of the gastrointestinal tract (gastroduodenal ulcer, diverticulitis, acute mesenteric ischemia, severe colitis)[ 1 , 12 ]; (4) acute appendicitis, which is usually complicated[ 13 , 14 ]; (5) obstructive ileus, which is caused mainly by lymphoproliferative disorders related to immunosuppression after transplantation or intraperitoneal adhesions[ 1 , 15 ]; (6) acute pancreatitis, which is attributed to tacrolimus and is rare[ 16 , 17 ]; and (7) Meckel’s diverticulum perforation[ 18 ] or acute pseudoobstruction (Ogilvie’s syndrome), which are rare[ 19 ]. Additionally, a rare case of ectopic pregnancy rupture after simultaneous pancreas and kidney transplantation has been reported[ 20 ].…”

Section: Diagnosismentioning

confidence: 99%

Critical considerations for the management of acute abdomen in transplant patients

Pavlidis,

Katsanos,

Kofinas

et al. 2024

World J Transplant

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The number of solid organ transplantations performed annually is increasing and are increasing in the following order: Kidney, liver, heart, lung, pancreas, small bowel, and uterine transplants. However, the outcomes of transplants are improving (organ survival > 90% after the 1st year). Therefore, there is a high probability that a general surgeon will be faced with the management of a transplant patient with acute abdomen. Surgical problems in immunocompromised patients may not only include graft-related problems but also nongraft-related problems. The perioperative regulation of immunosuppression, the treatment of accompanying problems of immunosuppression, the administration of cortisol and, above all, the realization of a rapidly deteriorating situation and the accurate evaluation and interpretation of clinical manifestations are particularly important in these patients. The perioperative assessment and preparation includes evaluation of the patient’s cardiovascular system and determining if the patient has hypertension or suppression of the hypothalamic-pituitary-adrenal axis, or if the patient has had any coagulation mechanism abnormalities or thromboembolic episodes. Immunosuppression in transplant patients is associated with the use of calcineurin inhibitors, corticosteroids, and antiproliferation agents. Many times, the clinical picture is atypical, resulting in delays in diagnosis and treatment and leading to increased morbidity and mortality. Multidetector computed tomography is of utmost importance for early diagnosis and management. Transplant recipients are prone to infections, especially specific infections caused by cytomegalovirus and Clostridium difficile , and they are predisposed to intraoperative or postoperative complications that require great care and vigilance. It is necessary to follow evidence-based therapeutic protocols. Thus, it is required that the clinician choose the correct therapeutic plan for the patient (conservative, emergency open surgery or minimally invasive surgery, including laparoscopic or even robotic surgery).

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Section: Diagnosismentioning

confidence: 99%

Critical considerations for the management of acute abdomen in transplant patients

Pavlidis,

Katsanos,

Kofinas

et al. 2024

World J Transplant

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Ogilvie syndrome in a 8 year old girl after laparoscopic appendectomy

et al. 2019

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BackgroundOgilvie’s syndrome is described in the adult population, but rarely seen in children.Case presentationWe present a case of a girl who suffered acute colonic pseudo-obstruction after laparoscopic appendectomy.ConclusionsOgilvie’s syndrome, although rare in the pediatric population, should be considered as possible diagnosis after a surgical procedure in presence of persisting subocclusive symptoms and radiological signs of massive colonic dilatation without mechanical obstruction.

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Ogilvie syndrome (acute colon pseudo-obstruction) in surgical practice (review)

Aliyev

Алиев

2021

Koloproktologiâ

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The aim of the review was to describe the evolution of scientific ideas about the syndrome of pseudo-obstruction of the large intestine (Ogilvie syndrome), taking into account the etiopathogenesis, clinical manifestations, the incidence of the disease, the state-of-art in diagnosis and treatment. The paper presents an analysis of the literature on the pseudoobstruction of the colon (Ogilvie syndrome) – the acute dilatation of the colon in the absence of any mechanical obstruction. The essence of the concept, the correctness of the notation, definitive criteria, terminology, pathophysiological and pathogenetic aspects of the disease according to the literature are described. The diagnostic and treatment algorithms are correctly described with an assessment of their effectiveness in accordance with the principles of evidence-based medicine. Despite the large number of publications devoted to Ogilvie syndrome and the increased awareness of doctors of various specialties on this pathology, its diagnostics is still difficult and often untimely.

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Acute colonic pseudo-obstruction (Ogilvie syndrome) post-renal transplantation

Cited by 3 publications

References 6 publications

Critical considerations for the management of acute abdomen in transplant patients

Critical considerations for the management of acute abdomen in transplant patients

Ogilvie syndrome in a 8 year old girl after laparoscopic appendectomy

Ogilvie syndrome (acute colon pseudo-obstruction) in surgical practice (review)

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