Ogilvie Syndrome and Herpes Zoster: Case Report and Review of the Literature

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• 作者：David A. Edelman ; Fadi Antaki ; Marc D. Basson ; Walter A. Salwen ; Scott A. Gruber ; Julian E. Losanoff
• 刊名：Journal of Emergency Medicine
• 出版年：2010
• 出版时间：November 2010
• 年：2010
• 卷：39
• 期：5
• 页码：696-700
• 全文大小：514 K

文摘

Background: The very unusual association between herpes zoster and Ogilvie syndrome has received scant attention in the published literature. Objectives: This review discusses the published experience since 1950 and attempts to increase clinical awareness about the co-existence of both conditions. Case Report: An 84-year-old male patient affected by herpes zoster presented with advanced acute colonic pseudo-obstruction and was successfully treated with colonic diversion. Discussion: Twenty published studies (1950–2008) of 28 patients in whom the two conditions co-existed are reviewed. The review included 22 male and 7 female patients (24 % ) aged 32–87 years (mean, 61 years). Significant co-morbidities were present in 45 % of the patients. The majority of patients were observed and treated conservatively (83 % ). Two patients died (7 % ), both suffering from respiratory complications and malignancy. Conclusion: Recognition of the combined syndrome may help to avoid unnecessary surgery. Laparotomy should be reserved as a last resort for when the obstruction cannot be successfully managed by endoscopy. A diverting colostomy can be used to monitor the blood supply and thus provide early warning for an impending abdominal catastrophe.