scholarly journals Herpes Zoster-Induced Ogilvie’s Syndrome

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Irfan Masood ◽  
Zain Majid ◽  
Waqas Rind ◽  
Aisha Zia ◽  
Haris Riaz ◽  
...  
Keyword(s):  
Herpes Zoster ◽  
Uneventful Recovery ◽  
Ogilvie's Syndrome ◽  
Diagnostic Challenge ◽  
Time Intervals ◽  
Ogilvie’S Syndrome ◽  
Surgical Interventions ◽  
X Ray ◽  
Rare Manifestation ◽  
History Of

Ogilvie’s syndrome due to herpes zoster infection is a rare manifestation of VZV reactivation. The onset of rash of herpes zoster and the symptoms of intestinal obstruction can occur at different time intervals posing a significant diagnostic challenge resulting in avoidable surgical interventions. Herein, we describe a case of 35-year-old male who presented with 6-day history of constipation and colicky abdominal pain along with an exquisitely tender and vesicular skin eruption involving the T8–T11 dermatome. Abdominal X-ray and ultrasound revealed generalized gaseous distention of the large intestine with air up to the rectum consistent with paralytic ileus. Colonoscopy did not show any obstructing lesion. A diagnosis of Ogilvie’s syndrome associated with herpes zoster was made. He was conservatively managed with nasogastric decompression, IV fluids, and acyclovir. The patient had an uneventful recovery and was later discharged.

ANTERIOR ABDOMINAL WALL ABSCESS A RARE PRESENTATION OF LEFT SIDED COLONIC CARCINOMA: A DIAGNOSTIC CHALLENGE FOR A GENERAL SURGEON

2021 ◽  
pp. 26-28
Author(s):  
Sukanta Sikdar ◽  
Mala Mistri ◽  
Subhabrata Das ◽  
Dibyendu Chatterjee
Keyword(s):  
Abscess Formation ◽  
Colonic Carcinoma ◽  
Uneventful Recovery ◽  
General Surgeon ◽  
Bowel Habit ◽  
Abdominal Abscess ◽  
Diagnostic Challenge ◽  
Rare Presentation ◽  
Carcinoma Of The Colon ◽  
History Of

Background: The various presentations of carcinoma of the colon are well known. Abscess formation occurs in 0.3 to 0.4% and is the second most common complication of perforated lesions. Perforation and penetration of adjacent organs with intra-abdominal abscess formation as the initial presentation is uncommon. It is difcult to make an accurate diagnosis of abscess formation as the rst evidence of colonic carcinoma preoperatively. A 68 yrs old female who presented to the ED with acute onset of left lower abdominal f Case presentation: ullness, pain and local redness for 15 days. She denied any history of vomiting, fever, anorexia but history of altered bowel habit. Clinically she had a palpable lump (20 x15) cm in left lumber region .The lump was parietal with local raise of temperature , redness and tenderness can be elicited . So our initial impression was parietal wall abscess and we underwent emergency drainage of abscess. She had uneventful recovery and discharged after 2 weeks. She was admitted with similar presentation in previous location 30 days after discharge. Now we investigate thoroughly, a CECT scan of whole abdomen which conrms radio-logically as carcinoma of descending colon with abscess extending into the parietal wall .We underwent an exploratory laparotomy and HPE proven as adenocarcinoma of the colon. Post op she developed SSI which was managed with regular dressing and she was discharged in post-op day 20. We report this case because of an unusual Conclusion: presentation of left sided colonic Ca. The accurate preoperative diagnosis of these conditions extremely complicated because of the fuzzy clinical presentation. The CT scan can diagnose malignancy pre-operatively, even if the denitive diagnosis of colonic perforated neoplasia may be evident only during surgery. So early diagnosis and prompted intervention can save the patient to developed sepsis and to reduce signicantly the morbidity and mortality. The importance is to focus on the differential diagnosis and keep in mind that a colon carcinoma can present with abdominal abscess. Surgeons should be aware of this differential because it is easily ignored pre-operatively.

scholarly journals Ogilvie's Syndrome and Herpes Zoster: A Case Report

2017 ◽  
Vol 13 (4) ◽  
Author(s):  
Geet Midha ◽  
Farheen Khan ◽  
Rajesh Joseph Selvakumar ◽  
Mark Ranjan Jesudason
Keyword(s):  
Case Report ◽  
Herpes Zoster ◽  
Ogilvie's Syndrome ◽  
Ogilvie’S Syndrome

Unilateral facial erythematous patch as the presenting sign of systemic lupus erythematosus

Lupus ◽  
2020 ◽  
Vol 29 (14) ◽  
pp. 1968-1970
Author(s):  
Dae-Lyong Ha ◽  
Gi-Wook Lee ◽  
Kihyuk Shin ◽  
Hoon-Soo Kim ◽  
Hyun-Chang Ko ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Lupus Erythematosus ◽  
Autoimmune Disorder ◽  
Left Cheek ◽  
Systemic Lupus ◽  
Diagnostic Challenge ◽  
Cutaneous Manifestations ◽  
Oral Ulcers ◽  
Rare Manifestation ◽  
History Of

Systemic lupus erythematosus (SLE) is a chronic autoimmune disorder that can have many cutaneous manifestations including malar rash, discoid rash or oral ulcer. Isolated unilateral involvement of face is uncommon in SLE. It lacks typical clinical features of LE, and may impose a diagnostic challenge for clinicians. Herein we report a case of 62-year-old woman presenting with a 2-year history of erythematous patches on left cheek and eyelid. Initially, she was diagnosed as having recurrent blepharitis or cellulitis that did not respond to conventional treatment with ophthalmic medicaments. As time went by, the patches spread to her left cheek, and she was referred to our dermatologic department. Histopathologic examination was consistent with LE. Further physical and laboratory tests have found that she had oral ulcers, proteinuria, thrombocytopenia and abnormal titer of anti-nuclear antibody satisfying the diagnosis of SLE. From this case, we think unilateral erythematous patches on face could be a rare manifestation of SLE and more intention should be paid to this type of patients, because unilateral facial symptom may mimic other dermatoses.

scholarly journals Appendiceal fat stranding on CT: a red herring in a post-caesarean section woman with Ogilvie’s syndrome (OS)

2019 ◽  
Vol 12 (5) ◽  
pp. e229228
Author(s):  
Kay Tai Choy ◽  
Heng-Chin Chiam
Keyword(s):  
Abdominal Pain ◽  
Caesarean Section ◽  
Exploratory Laparotomy ◽  
Right Hemicolectomy ◽  
Ogilvie's Syndrome ◽  
Ogilvie’S Syndrome ◽  
X Ray ◽  
Intravenous Antibiotics ◽  
The Right ◽  
Fat Stranding

A 30-year-old woman was referred for a surgical review with abdominal pain and distension 2 days post-caesearean section. Abdominal X-ray showed dilated bowel loops. CT of her abdomen however showed fat stranding around a thickened appendix, suggesting a differential diagnosis of acute appendicitis on top of a postoperative ileus. Failure to respond to intravenous antibiotics led to an emergent surgical exploratory laparotomy, by which time the progressive caecal dilatation had led to patchy necrosis and perforation of the right hemicolon intra-operatively. The patient required a right hemicolectomy and histological examination of the excised bowel supported the diagnosis of Ogilvie’s syndrome. This case highlights the red herrings that one can encounter when faced with a woman with post-caesarean section abdominal pain and aims to raise awareness among clinicians of this condition—where timely diagnosis and management is key.

scholarly journals Successful Management of a Stab Wound to the Left Ventricle

2016 ◽  
Vol 9 (1) ◽  
pp. 60-63
Author(s):  
Jaleed Ahmad Gillani ◽  
Hamza AR Khan ◽  
Omar Irfan ◽  
Saulat H Fatimi
Keyword(s):  
Septal Defect ◽  
Stab Wound ◽  
Left Ventricular ◽  
Uneventful Recovery ◽  
Ventricular Wall ◽  
Successful Management ◽  
X Ray ◽  
History Of ◽  
Prolene Suture ◽  
Cardiac Silhouette

A 24 year old male presented to the emergency room with a 2 hour history of knife stab wound. He was haemodynamically stable with good bilateral air entry. However on X-ray an enlarged cardiac silhouette was seen. The patient suddenly became hypotensive and on suspicion of cardiac tamponade a catheter was introduced in pericardial space, but the measure was unsuccessful and he was rushed to the Operating Room. During the surgery a 2 cm long laceration was identified in the mid-left ventricular (LV) wall less than 1mm away from the Left Anterior Descending (LAD) Artery. The Left Anterior Descending Vein was damaged which was then repaired along with the ventricular wall by the interrupted pledgeted 3-0 prolene suture, whilst a cardiopulmonary bypass was kept on the stand by. The patient was checked for a ventricular septal defect via an intraoperative echocardiography. Subsequently, he had an uneventful recovery and was discharged.Cardiovasc. j. 2016; 9(1): 60-63

scholarly journals Herpes Zoster and Ogilvie’s Syndrome

Dermatology ◽  
1994 ◽  
Vol 189 (3) ◽  
pp. 312-312 ◽  
Author(s):  
K. Alpay ◽  
M. Yandi
Keyword(s):  
Herpes Zoster ◽  
Ogilvie's Syndrome ◽  
Ogilvie’S Syndrome

Medical imaging of textile iatrogenic foreign bodies in abdomen and pelvis

2019 ◽  
pp. 100-113
Author(s):  
A. A. Ryazantsev ◽  
A. L. Yudin ◽  
E. A. Yumatova
Keyword(s):  
Foreign Body ◽  
Medical Imaging ◽  
Foreign Bodies ◽  
Diagnostic Algorithm ◽  
Surgical Interventions ◽  
X Ray ◽  
Iatrogenic Damage ◽  
History Of ◽  
Unexplained Symptoms ◽  
Legal Consequences

Aim. To systematize modern literature data on medical imaging of textile iatrogenic foreign bodies.Materials and methods. We analyzed the articles about the identification of textile iatrogenic foreign bodies, published until 2019.Discussion. Foreign body detection should be included in the differential diagnostic algorithm for patients who have a history of surgical interventions and unexplained symptoms. In all cases of suspected iatrogenic foreign body, it is desirable to use at least two available techiques of medical imaging: ultrasound, X-ray, MDCT, MRI.Conclusions. Left foreign body entails medical and legal consequences that adversely affect both the reputation of the surgeon and the reputation of the medical institution, as they are considered a classic example of iatrogenic damage and indicate a violation of the quality standards of medical care. The article presents data on the features of medical imaging of textile iatrogenic foreign bodies left in the patient’s body as a result of planned and emergency surgical interventions, and determining the optimal tactics for examination and treatment of this category of patients.

scholarly journals COLONIC PSEUDO-OBSTRUCTION: OGILVIE’S SYNDROME

2018 ◽  
Vol 5 (4) ◽  
pp. 222-224
Author(s):  
Ulviyya Gasimova ◽  
S. Elhamamsy
Keyword(s):  
Rare Condition ◽  
Signs And Symptoms ◽  
Ogilvie's Syndrome ◽  
First Line ◽  
Abdominal Ct ◽  
Ogilvie’S Syndrome ◽  
Abdominal Ct Scan ◽  
History Of ◽  
Mechanical Bowel Obstruction ◽  
Colonoscopic Decompression

Acute colonic pseudo-obstruction (Ogilvie’s syndrome) is a rare disorder associated with spontaneous colonic dilatation with signs and symptoms of mechanical bowel obstruction and dilatation on imaging. We report a 37 year-old female, with three-month history of Caesarian Section at 38th week of pregnancy due to fetal malpresentation. Abdominal CT-scan revealed chronic diffuse colonic distention, 17 cm in diameter. No cause of obstruction could be determined. A diagnosis of Ogilvie’s syndrome was made. The increased size of the colon with leukocytosis warranted urgent colonoscopic decompression. The patient recovered well. If not managed appropriately, Ogilvie’s syndrome can progress to bowel ischemia and perforation with significant morbidity and mortality. The first line of treatment of early disease is conservative management with neostigmine or colonoscopic decompression. Our purpose is to review the diagnosis and management of this potentially lethal rare condition.

scholarly journals X-RAY-ENDOVASCULAR EMBOLIZATION OF PARAPANCREATIC VESSELS IN THE TREATMENT OF CHRONIC PANCREATITIS COMPLICATIONS

2021 ◽  
pp. 85-90
Author(s):  
K.S. Belyuk ◽  
E.V. Mogilevets ◽  
R.S. Shilo ◽  
L.F. Vasilchuk ◽  
S.P. Antonenko ◽  
...  
Keyword(s):  
Chronic Pancreatitis ◽  
Surgical Treatment ◽  
Minimally Invasive ◽  
Research Methods ◽  
Endovascular Embolization ◽  
Vascular Pathology ◽  
Laboratory Research ◽  
Surgical Interventions ◽  
X Ray ◽  
History Of

Goal. To improve the results of surgical treatment of chronic pancreatitis complicated by vascular pathology of the parapancreatic zone. Materials and methods. On the basis of the "Grodno University Clinic" in the department of X-ray Endovascular Surgery of the period 2010 to April 2020, were performed 16 embolizations of the arteries of the parapancreatic zone due to complications of chronic pancreatitis. Among the patients there were 13 (81.25%) men and 3 (18.75%) women. They had a history of chronic pancreatitis, which was confirmed using instrumental and laboratory research methods. One of the patients (6.25%) had a stationary aneurysm.15 (93.75%) patients had a bleeding clinic, which required urgent surgical interventions. Results. Angioembolization of the parapancreatic arteries was effective in 15 (93.75%) patients, which was confirmed by the results of control angiograms. Conclusions. The use of intraluminal embolization for vascular pathology of the parapancreatic zone in treatment of chronic pancreatitis complications is a minimally invasive and effective method.

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