Cargando…

Ogilvie Syndrome and Acute Kidney Injury: A Rare Complication of Cesarean Section and Preeclampsia

Ogilvie syndrome, or acute colonic pseudo-obstruction (ACPS) is a rare occurrence, usually following surgery. It consists of a massive dilatation of the cecum, whose diameter becomes greater than 10 cm; its severity is variable, but, if not promptly recognized, it may be life-threatening. Acute kidn...

Descripción completa

Detalles Bibliográficos
Autores principales: Stancanelli, Maria Rita, Njandjo, Linda, Errigo, Federica, Fois, Antioco, Santoro, Domenico, Piccoli, Giorgina Barbara, Torreggiani, Massimo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10052119/
https://www.ncbi.nlm.nih.gov/pubmed/36983251
http://dx.doi.org/10.3390/jcm12062249
_version_ 1785015078044565504
author Stancanelli, Maria Rita
Njandjo, Linda
Errigo, Federica
Fois, Antioco
Santoro, Domenico
Piccoli, Giorgina Barbara
Torreggiani, Massimo
author_facet Stancanelli, Maria Rita
Njandjo, Linda
Errigo, Federica
Fois, Antioco
Santoro, Domenico
Piccoli, Giorgina Barbara
Torreggiani, Massimo
author_sort Stancanelli, Maria Rita
collection PubMed
description Ogilvie syndrome, or acute colonic pseudo-obstruction (ACPS) is a rare occurrence, usually following surgery. It consists of a massive dilatation of the cecum, whose diameter becomes greater than 10 cm; its severity is variable, but, if not promptly recognized, it may be life-threatening. Acute kidney injury (AKI) is reported in this context due to both septic complications and to effective hypovolemia. ACPS most commonly affects males and individuals older than 60. In women, the median age at diagnosis is lower due to a strong association with Caesarean sections. The differential diagnosis after delivery may be challenging, due to a potential overlap of symptoms with preeclampsia or hemolysis low platelet elevated liver enzymes (HELLP) syndrome, both associated with AKI. The case herein discussed, regarding a 35-year-old woman, who developed AKI and Ogilvie syndrome after a Caesarean section for preeclampsia, may exemplify these diagnostic and therapeutic challenges, and is intended to raise awareness on this unusual complication of Caesarean delivery.
format Online
Article
Text
id pubmed-10052119
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-100521192023-03-30 Ogilvie Syndrome and Acute Kidney Injury: A Rare Complication of Cesarean Section and Preeclampsia Stancanelli, Maria Rita Njandjo, Linda Errigo, Federica Fois, Antioco Santoro, Domenico Piccoli, Giorgina Barbara Torreggiani, Massimo J Clin Med Case Report Ogilvie syndrome, or acute colonic pseudo-obstruction (ACPS) is a rare occurrence, usually following surgery. It consists of a massive dilatation of the cecum, whose diameter becomes greater than 10 cm; its severity is variable, but, if not promptly recognized, it may be life-threatening. Acute kidney injury (AKI) is reported in this context due to both septic complications and to effective hypovolemia. ACPS most commonly affects males and individuals older than 60. In women, the median age at diagnosis is lower due to a strong association with Caesarean sections. The differential diagnosis after delivery may be challenging, due to a potential overlap of symptoms with preeclampsia or hemolysis low platelet elevated liver enzymes (HELLP) syndrome, both associated with AKI. The case herein discussed, regarding a 35-year-old woman, who developed AKI and Ogilvie syndrome after a Caesarean section for preeclampsia, may exemplify these diagnostic and therapeutic challenges, and is intended to raise awareness on this unusual complication of Caesarean delivery. MDPI 2023-03-14 /pmc/articles/PMC10052119/ /pubmed/36983251 http://dx.doi.org/10.3390/jcm12062249 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Stancanelli, Maria Rita
Njandjo, Linda
Errigo, Federica
Fois, Antioco
Santoro, Domenico
Piccoli, Giorgina Barbara
Torreggiani, Massimo
Ogilvie Syndrome and Acute Kidney Injury: A Rare Complication of Cesarean Section and Preeclampsia
title Ogilvie Syndrome and Acute Kidney Injury: A Rare Complication of Cesarean Section and Preeclampsia
title_full Ogilvie Syndrome and Acute Kidney Injury: A Rare Complication of Cesarean Section and Preeclampsia
title_fullStr Ogilvie Syndrome and Acute Kidney Injury: A Rare Complication of Cesarean Section and Preeclampsia
title_full_unstemmed Ogilvie Syndrome and Acute Kidney Injury: A Rare Complication of Cesarean Section and Preeclampsia
title_short Ogilvie Syndrome and Acute Kidney Injury: A Rare Complication of Cesarean Section and Preeclampsia
title_sort ogilvie syndrome and acute kidney injury: a rare complication of cesarean section and preeclampsia
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10052119/
https://www.ncbi.nlm.nih.gov/pubmed/36983251
http://dx.doi.org/10.3390/jcm12062249
work_keys_str_mv AT stancanellimariarita ogilviesyndromeandacutekidneyinjuryararecomplicationofcesareansectionandpreeclampsia
AT njandjolinda ogilviesyndromeandacutekidneyinjuryararecomplicationofcesareansectionandpreeclampsia
AT errigofederica ogilviesyndromeandacutekidneyinjuryararecomplicationofcesareansectionandpreeclampsia
AT foisantioco ogilviesyndromeandacutekidneyinjuryararecomplicationofcesareansectionandpreeclampsia
AT santorodomenico ogilviesyndromeandacutekidneyinjuryararecomplicationofcesareansectionandpreeclampsia
AT piccoligiorginabarbara ogilviesyndromeandacutekidneyinjuryararecomplicationofcesareansectionandpreeclampsia
AT torreggianimassimo ogilviesyndromeandacutekidneyinjuryararecomplicationofcesareansectionandpreeclampsia