Pseudo-obstrucción colónica aguda (síndrome de Ogilvie) post-trasplante renal

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

doi:10.1016/j.bmhimx.2016.04.003

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…The syndrome tends to occur in adult patients with serious medical and surgical conditions, as myocardial infarction, neoplasia, metabolic disorders, spinal injury, peritonitis, sepsis and shock. In pediatric population it has been described in oncology patients, especially when neutropenic and treated with high-dose vincristine [2–5] in patients who underwent spinal surgery [6], after administration of anticholinergic medication [11], in sickle cell disease [7], in Kawasaky disease [8], and after renal transplant [9].…”

Section: Discussionmentioning

confidence: 99%

“…Ogilvie’s syndrome is a rare complication mostly described in adult patients with severe underlying medical or surgical conditions [1]. However, an increased number of cases of Ogilvie’s syndrome has been reported in children with oncological diseases [2–5], after spinal surgery [6], in sickle cell and Kawasaky disease [7, 8], and after renal transplant [9].…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Ogilvie syndrome in a 8 year old girl after laparoscopic appendectomy

et al. 2019

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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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Pseudo-obstrucción colónica aguda (síndrome de Ogilvie) post-trasplante renal

Abstract: 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.

Cited by 2 publications

References 6 publications

Ogilvie syndrome in a 8 year old girl after laparoscopic appendectomy

Ogilvie syndrome in a 8 year old girl after laparoscopic appendectomy

Critical considerations for the management of acute abdomen in transplant patients

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