Refractory Acute Colonic Pseudo-Obstruction Complicated by Urosepsis and Parkinsonism

Chao-Kai Hu, Chih-Chung Liu, Ming-Hui Hung, Wing-Sum Chan, Yu-Chang Yeh

Research output: Contribution to journalArticle

Abstract

Acute colonic pseudo-obstruction (ACPO), also known as Ogilvie's syndrome, consists of massive colonic dilatation in the absence of distal colonic mechanical obstruction. It develops in hospitalized patients and is associated with a variety of surgical and medical conditions, such as autonomic dysregulation of colonic motor activity, after major surgery, electrolyte imbalance, or systemic infection. Conservative management or pharmacological therapy with neostigmine is usually sufficient to control ACPO, but colonoscopy for intestinal decompression is sometimes needed. We report a patient with Parkinson's disease who developed ACPO after septic shock. Low dose of neostigmine (1 mg) is effective for short-term symptom relief; but the symptoms might be recurrent and refractory if the underlying risk factors are not improved. Without appropriate management, ACPO will prolong the duration of mechanical ventilation and ICU stay of those critical patients.
Original languageEnglish
Pages (from-to)42-46
Number of pages5
Journal重症醫學雜誌
Volume9
Issue number1
DOIs
Publication statusPublished - 2008
Externally publishedYes

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Keywords

  • 急性大腸假性阻塞
  • 奧格維氏症候群Ogilvie's syndrome
  • 新斯狄格明neostigmine
  • Acute colonic pseudo-obstruction
  • Ogilvie's syndrome
  • Neostigmine

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