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

• Lee JE
• Kim HW
• Lee JW
• Choi HM
• Hyun YY
• Park SW
• Kwon YJ
• Pyo HJ

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

MeSH Terms

Abdominal Pain
Acetylcholinesterase
Administration, Intravenous
Colon*
Colonic Pseudo-Obstruction*
Decompression
Dialysis
Dilatation
Eosinophils*
Humans
Kidney Failure, Chronic*
Neostigmine
Peritoneal Dialysis, Continuous Ambulatory*
Peritonitis*
Acetylcholinesterase
Neostigmine