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Ogilvie syndrome: peculiar manifestation of acquired immunodeficiency syndrome in non-institutionalized middle age female in Tanzania.
Jusabani, Ahmed Mussa; Jusabani, Mubashir Alavi; Patel, Dhanji Karsan; Pradhan, Dilipkumar Anant; Ramaiya, Kaushik Laxmidas; Surani, Salim Ramzan.
Afiliação
  • Jusabani AM; Department of Radiology, The Aga Khan Hospital Dar es Salaam, Tanzania.
  • Jusabani MA; Department of Orthopaedics, Kilimanjaro Christian Medical Centre, Kilimanjaro, Tanzania.
  • Patel DK; Department of Surgery, Shree Hindu Mandal Hospital, Dar es Salaam, Tanzania.
  • Pradhan DA; Department of Radiology, Shree Hindu Mandal Hospital, Dar es Salaam, Tanzania.
  • Ramaiya KL; Department of Medicine, Shree Hindu Mandal Hospital, Dar es Salaam, Tanzania.
  • Surani SR; Internal Medicine, Corpus Christi Medical Center, Corpus Christi, United State of America and Internal Medicine, University of North Texas, Dallas, United State of America.
Pan Afr Med J ; 37: 298, 2020.
Article em En | MEDLINE | ID: mdl-33623632
ABSTRACT
Since it was first documented in 1948 by Sir William Heneage Ogilvie, numerous cases of Ogilvie syndrome have been described in literature due to various medical and surgical causes. Nonetheless, only a handful of cases only have been documented due to underlying Acquired Immunodeficiency Syndrome (AIDS). A 41-year-old female was admitted with an acute abdomen secondary to partial mechanical intestinal obstruction or paralytic ileus based on signs and symptoms and Abdominal X-Ray (AXR). She was known to be HIV/AIDS WHO clinical stage II on treatment. On diagnostic imaging studies she had distended large bowels without features of mechanical intestinal obstruction and the diagnosis of Ogilvie syndrome was suspected after other differentials were excluded. Early recognition and appropriate management are essential, because if left untreated the bowel distension may progress to caecal perforation and fatal peritonitis. Medical imaging with Computer Tomography (CT) scan and colonoscopy has helped in achieving an accurate diagnosis and avoiding unnecessary laparotomies. Although an uncommon disorder, for earlier and accurate diagnosis a high index of suspicion is required by clinicians and radiologists who are treating patients with underlying HIV/AIDS. Ogilvie's syndrome is a rare condition and if missed can be fatal. In patients with HIV/AIDS, the symptoms may be directly due to HIV infection, secondary to opportunistic infections or possible neurotoxic effects of HIV treatment or lack of vitamin and minerals. It is important to exclude Ogilvie syndrome in patients from surgical causes of the acute abdomen to avoid unnecessary surgical procedures.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Pseudo-Obstrução do Colo / Síndrome da Imunodeficiência Adquirida / Abdome Agudo Idioma: En Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Pseudo-Obstrução do Colo / Síndrome da Imunodeficiência Adquirida / Abdome Agudo Idioma: En Ano de publicação: 2020 Tipo de documento: Article