Korean J Nephrol.  2006 Nov;25(6):1041-1045.

Eosinophilic Peritonitis Followed by Acute Colonic Pseudo-obstruction (Ogilvie's syndrome) in an ESRD Patient on CAPD

Affiliations
  • 1Department of Internal Medicine, College of Medicine, Korea University, Seoul, Korea. yjkwon@korea.ac.kr

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.

Keyword

Eosinophilic peritonitis; acute colonic pseudo-obstruction; Ogilvie's syndrome; neostigmine
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