대상포진의 합병증으로 발생한 급성 대장가성폐쇄증(Ogilvie`s syndrome) = Gastroenterology Acute Colonic Pseudo-Obstruction (Ogilvie`s syndrome) as a Complication of Herpes Zoster

다국어 초록 (Multilingual Abstract)

Acute colonic pseudo-obstruction (Ogilvie`s syndrome) is a very rare complication of herpes zoster. A 62-year-old female visited our hospital due to abdominal pain. Skin lesions of herpes zoster had developed after the patient experienced symptoms of colonic obstruction. The symptoms of colonic obstruction resulted in more suffering for the patient than did those of herpes zoster. In cases reported previously in Korea, these symptoms were improved by endoscopic colonic decompression. However, the symptoms of this patient were improved by conservative treatment only, which included fasting and intravenous fluid replacement. Furthermore, this case differs from previous cases in terms of the difficulty of diagnosis due to the delayed appearance of the skin lesions. We present herein the first case in Korea of Ogilvie`s syndrome as a complication of herpes zoster, which was improved by conservative treatment. Clinicians should be aware of the various unusual complications of herpes zoster. (Korean J Med 2016;90:318-321)

참고문헌 (Reference)

1 Delgado-Aros S, "Pseudo-obstruction in the critically ill" 17 : 427-444, 2003

2 Edelman DA, "Ogilvie syndrome and herpes zoster : case report and review of the literature" 39 : 696-700, 2010

3 Tribble DR, "Gastrointestinal visceral motor complications of dermatomal herpes zoster : report of two cases and review" 17 : 431-436, 1993

4 Pui JC, "Demonstration of varicella-zoster virus infection in the muscularis propria and myenteric plexi of the colon in an HIV-positive patient with herpes zoster and small bowel pseudo-obstruction(Ogilvie’s syndrome)" 96 : 1627-1630, 2001

5 Chevallier P, "Controlled transperitoneal percutaneous cecostomy as a therapeutic alternative to the endoscopic decompression for Ogilvie’s syndrome" 97 : 471-474, 2002

6 Rex D, "Colonoscopy and acute colonic pseudo-obstruction" 7 : 499-508, 1997

7 Vanek VW, "Acute pseudo-obstruction of the colon (Ogilvie's syndrome). An analysis of 400 cases" 29 : 203-210, 1986

8 De Giorgio R, "Acute colonic pseudo-obstruction" 96 : 229-239, 2009

9 Barroso FA, "Abdominal distension due to herpes zoster" 62 : 53-54, 2002

10 김지현, "A Rare Case of Ogilvie Syndrome Associated with Herpes Zoster" 대한장연구학회 10 (10): 379-382, 2012