Nomdedéu JF, Nomdedéu J, Martino R, Bordes R, Portorreal R, Sureda A, Domingo-Albós A, Rutllant M, Soler J. Ogilvie's syndrome from disseminated varicella-zoster infection and infarcted celiac ganglia.
J Clin Gastroenterol 1995;
20:157-9. [PMID:
7769201 DOI:
10.1097/00004836-199503000-00020]
[Citation(s) in RCA: 32] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
We report a patient who had refractory Hodgkin's disease and who received an autologous bone marrow transplantation and 8 months later developed abdominal pain associated with acute colonic dilation. The course of the patient was rapidly fatal due to a lobar pneumonia. Autopsy revealed signs of disseminated herpesvirus infection with marked hemorrhagic infarction of celiac sympathetic ganglia. This finding supports the hypothesis that denervation caused by virus reactivation and secondary hemorrhage is a main mechanism of acute colonic pseudoobstruction.
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