Carrillo ER, Ramírez RFJ, Batoczki ML

Language: Spanish
References: 15
Page: 703-708
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ABSTRACT

Background: Hypothyroidism is characterized by a deficiency of thyroid hormone, its prevalence varies from 0 to 7% in the United States and from 3 to 5% in Europe. Acute colonic pseudo-obstruction is generally associated to hospitalized patients, with an approximate incidence of 100 cases for every 100,000 hospital admissions. Its pathophysiology is multifactorial, highlighting an imbalance in the autonomic innervation of the colon, systemic alterations such as sepsis and hydroelectrolytic imbalance.
Clinical case: A 79-year-old female patient in who an infrequent association was diagnosed: hypothyroidism with Ogilivie’s syndrome.
Conclusions: Although rare, the association of hypothyroidism and Ogilvie’s syndrome should be considered in patients who show colonic dilatation in the postoperative period.

REFERENCES

1. Chaker LC, Bianco A, Joklaas JP, Peeters R. Hypothyroidism.Lancet 2017; 390: 1550-1562. doi: 10.1016/S0140-6736(17)30703-1.

2. Wrenn SM, Parsons ChS, Yang M, Malhotra AK. Acute largebowel pseudo-obstruction due to atrophic visceral myopathy:A case report. Int J Surg Case Rep 2017; 33: 79-83.doi: 10.1016/j.ijscr.2017.02.040.

3. Shankar JC, Hosmani R, Hebsur N. Hypothyroidism as a rarecause for Ogilvie syndrome. IOSR-JDMS. 2015; 4: 32-34.DOI: 10.9790/0853-14433234.

4. Thakur V, Gupta J. K, Gupta A. Abdominal compartmentsyndrome secondary to mixedema ileus. Tzu Chi Med J2020; 32: 219-221. doi: 10.4103/tcmj.tcmj_31_19.

5. Calissendorff J, Falhammar H. To treat or not to treat subclinicalhypothyroidism. What is the evidence? Medicine(Kaunas) 2020; 56: 40. doi: 10.3390/medicina56010040.

6. Wells CI, O’Grady G, Bissett IP. Acute colonic pseudo-obstruction:A systematic review of aetielogy and mechanisms.World J Gastroenterol 2017; 23: 5634-5644. doi: 10.3748/wjg.v23.i30.5634.

7. Haj M, Rockey DC. Ogilvie’s syndrome: managementand outcomes. Medicine 2018; 97: 27-31. doi: 10.1097/MD.0000000000011187.

8. Schulberg SP, Meytes V, Morin N, Ferzli G, Adler E, KopatsisA, Glinik G. Myxedema pseudovolvulus: case series andreview of the literature. Ann Laparosc Endosc Surg 2017;2: 56-59. doi: 10.21037/ales.2017.02.29.

9. Inagaki Y, Matsuo K, Nakano Y, Kondo T. Acute colonicpseudo-obstruction and rapid septic progression after transabdominalpreperitoneal hernia repair: a case report. BMCSurg 2021; 21: 191-194. doi: 10.1186/s12893-021-01199-y.

10. Moya SE, Pérez NP, Medina SV. Pseudoobstrucción decolon (síndrome de Ogilvie): un importante simulador deobstrucción colónica. Rapd online 2020; 43: 3-5.

11. Gentili G, Colella M F, Deluca A, Pérez P L, Rossi P C, DamiaO P, Laplumé E, Sarno P. Pseudoobstrucción colónica aguda(Síndrome de Ogilvie) posterior a una nefrectomía radical:reporte de caso. Rev Urol Colomb 2021; 30: 135-139.

12. Bouomrani S, Lassoued N, Ben Hamad M, Regaïeg N, BelgacemN, Trabelsi S, Baïli H. Recurrent intestinal obstructionrevealing hypothyroidism. Arch Gastroenterol Hepatol2018; 1: 22-25.

13. Yanamandra U, Kotwal N, Menon A, Nair V. Ogilvie’s syndromein a case of mixedema coma. Indian J EndocrinolMetab 2012; 16: 447-449. doi: 10.4103/2230-8210.95710.

14. Khajehnoori M, Nagra S. Acute colonic pseudo-obstruction(Ogilvie’s syndrome) with caecal perforation after caesareansection. J Surg Case Rep 2016; 8: 1-3. doi: 10.1093/jscr/rjw140.

15. Elmofti Y, Makar R, Sheraz F, Houston T, et al. An unfortunatecase of acute colonic pseudo-obstruction. Am JGastroenterol 2018; 113: 1614-1618.