S1678 Ogilvie’s Syndrome in a Patient With COVID-19 Infection

Khan, Zarak; Mukhtar, Kashif; Roman, George; Shah, Aun R.; Hassan, Muhammad; Ahmed, Munis M; Zaidi, Ramsha; Khanchandani, Narendra

doi:10.14309/01.ajg.0000708760.91308.3c

Cited by 5 publications

(5 citation statements)

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“…There is currently only one other case linking COVID-19 infection as a cause of Ogilvie syndrome. The patient involved was a younger male with an active COVID-19 infection [ 3 ]; while in our case, our patient was a middle-aged female with a recent COVID-19 infection. It is important to note that not only could Ogilvie syndrome be present in a patient with active COVID-19 infection but could also be in a patient with recent COVID-19 infection.…”

Section: Discussionmentioning

confidence: 83%

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Ogilvie Syndrome and COVID-19 Infection

et al. 2021

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Coronavirus disease 2019 (COVID-19) is an airborne infection transmitted via respiratory droplets and aerosolized material; however, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) uses the same angiotensin-converting enzyme type 2 receptor present in the respiratory epithelial cells to bind surface epithelial cells in the gastrointestinal tract. Here we report a case of Ogilvie syndrome in a patient who tested positive for SARS-CoV-2 a month prior to hospital admission. Quick recognition of Ogilvie syndrome as a potential complication of COVID-19 infection, prompt treatment with conservative measures, and prevention of possible fecal-oral transmission of the virus are crucial steps.

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Section: Discussionmentioning

confidence: 83%

“…Sometimes, GI symptoms can even be the sole presentation [ 1 ]. Ogilvie syndrome presents as colonic distension without signs of mechanical obstruction, in the context of autonomic nervous system dysfunction [ 3 ]. Very few cases of Ogilvie syndrome in patients with COVID-19 have been reported.…”

Section: Introductionmentioning

confidence: 99%

Ogilvie Syndrome and COVID-19 Infection

et al. 2021

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“…distension in absence of mechanical obstruction and it is induced by deteriorated autonomic nervous system. 22,23 In this case there is not any mechanical barrier in lumen or in wall of colon or extraluminal compression. Colonoscopic decompression is one of effective therapeutic options in patients with this syndrome.…”

Section: Microscopic Descriptionmentioning

confidence: 99%

Ogilvie syndrome in a COVID-19 patient with pneumonia, absolute tachyarrhythmia and heart failure: A case report

Matkovic¹,

Đekić-Matković²

2021

Scripta Medica

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The COVID-19 pandemic has recently spread worldwide presenting primarily in form of pneumonia. Gastrointestinal manifestations such as nausea, vomiting, diarrhoea and abdominal pain are less common than respiratory symptoms. However, critically ill patients may develop digestive complications including acute pseudo-obstruction of colon-Ogilvie syndrome. Gastrointestinal symptoms can manifest before the onset of typical respiratory symptoms. Common mucosal immune response underly both-pulmonary and gastrointestinal manifestations (high expression of angiotensin-converting enzyme 2 receptors). This article described a 75-year old female patient who arise Ogilvie syndrome during viral bilateral pneumonia induced by COVID-19. Patient also had an absolute tachyarrhythmia and hearth failure. Diameter of caecum, ascending and transverse colon was 12 to 14 cm. The walls of this segment of large bowel were deserosed, with threatening perforation. Right colectomy was performed. Nine days after the surgery, despite all therapeutic measures taken, there was a fatal outcome due to pulmonary thromboembolisation.

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“…Nie wskazuje się jednak na powiązanie występowania ACPO z zastosowaniem wspomaganej wentylacji [30,34]. W opisywanych przypadkach po prawidłowym rozpoznaniu zastosowano klasyczny schemat leczenia neostygminą i zaobserwowano prawidłową odpowiedź na leczenie [30,34,35]. Aby wykluczyć ryzyko wystąpienia zespołu Ogilviego u pacjentów z SARS-CoV-2 ze zwiększonym wzdęciem brzucha i przedłużającymi się zaparciami najlepszym postępowaniem byłoby wykonywanie badań przedmiotowych i wykonywanie zdjęć RTG jamy brzusznej co 12-24 godzin [30].…”

Section: 4unclassified

Ogilvie Syndrome - summary of knowledge, diagnostics and treatment

Radulski¹,

Tomkiewicz²,

Tomkiewicz³

et al. 2023

J Educ Health Sport

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Introduction and purpose: Ogilvie's syndrome is an acute pseudo-obstruction of the colon characterized by massive dilatation of the large intestine without mechanical obstruction. The aim of this publication is to review publications and case reports concerning this disease and therapeutic management. A brief description of the state of knowledge: Ogilvie's syndrome was first described in 1948. The assumed pathogenesis of the disease is increased activity of the sympathetic nervous system and/or decreased activity of the parasympathetic nervous system. Most often it concerns hospitalized patients, in a serious general condition, after major injuries, operations, and pregnant or postpartum women. The importance of viral infections in the pathogenesis, including COVID-19 in recent years, is also indicated. It is important to eliminate possible organic causes of obstruction and to assess the diameter of the dilated bowel. Therapeutic options include conservative treatment, pharmacological treatment with acetylcholinesterase inhibitors, endoscopic bowel decompression and surgical treatment. Lack of medical intervention can lead to ischemia and intestinal perforation. Conclusion: Ogilvie's syndrome is a rare condition in which complications can be minimized with proper assessment, care and treatment. The progress of pharmacological and endoscopic therapy allows to reduce the need for surgical intervention, and thus - the patient's unnecessary burden.

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S1678 Ogilvie’s Syndrome in a Patient With COVID-19 Infection

Cited by 5 publications

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Ogilvie Syndrome and COVID-19 Infection

Ogilvie Syndrome and COVID-19 Infection

Ogilvie syndrome in a COVID-19 patient with pneumonia, absolute tachyarrhythmia and heart failure: A case report

Ogilvie Syndrome - summary of knowledge, diagnostics and treatment

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