Eosinophilic Peritonitis Followed by Acute Colonic Pseudo-obstruction (Ogilvie's syndrome) in an ESRD Patient on CAPD.
- Author:
Ji Eun LEE
1
;
Hye Won KIM
;
Jae Won LEE
;
Hye Min CHOI
;
Young Youl HYUN
;
Sang Won PARK
;
Young Joo KWON
;
Heui Jung PYO
Author Information
1. Department of Internal Medicine, College of Medicine, Korea University, Seoul, Korea. yjkwon@korea.ac.kr
- Publication Type:Case Report
- Keywords:
Eosinophilic peritonitis;
acute colonic pseudo-obstruction;
Ogilvie's syndrome;
neostigmine
- MeSH:
Abdominal Pain;
Acetylcholinesterase;
Administration, Intravenous;
Colon*;
Colonic Pseudo-Obstruction*;
Decompression;
Dialysis;
Dilatation;
Eosinophils*;
Humans;
Kidney Failure, Chronic*;
Neostigmine;
Peritoneal Dialysis, Continuous Ambulatory*;
Peritonitis*
- From:Korean Journal of Nephrology
2006;25(6):1041-1045
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute colonic pseudo-obstruction (Ogilvie's syndrome) is characterized by massive dilatation of the colon with no sign of mechanical obstruction. We report a case of eosinophilic peritonitis with severe abdominal pain followed by acute colonic pseudo- obstruction in an ESRD patient on CAPD. The intravenous administration of neostigmine, an acetylcholinesterase inhibitor, resulted in safe and effective colonic decompression in our patient. In case patients with acute colonic pseudo-obstruction do not respond to conservative therapy, treatment with neostigmine can be considered even for patients on dialysis.
