A Case of Acute Colonic Pseudo-Obstruction Combined with Rhabdomyolysis induced by Severe Hypokalemia / 대한내과학회지
Korean Journal of Medicine
;
: 591-596, 2013.
Article
in Korean
| WPRIM
| ID: wpr-193302
ABSTRACT
Acute colonic pseudo-obstruction (ACPO) or Ogilvie's syndrome is a rare disorder of intestinal motility characterized by massive colonic dilatation without mechanical obstruction. We report a case of ACPO combined with rhabdomyolysis induced by severe hypokalemia. A 78-year-old male with a 10-year history of hypertension presented with abdominal pain and distension for 2 days. The laboratory findings showed hypokalemia with markedly elevated serum creatine phosphokinase and myoglobin levels. A plain abdominal x-ray revealed a markedly distended ascending and transverse colon with a cut-off sign at the descending colon. Mechanical obstruction of the intestine was excluded by computed tomography and colonoscopy. He was initially treated with supportive therapy, including insertion of a rectal tube and intravenous fluids with potassium replacement. However, the ACPO persisted, and neostigmine was administered in two separate 2.0-mg intravenous injections, 24 hours apart. Subsequently, the abdominal pain and colonic distension were relieved.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Potassium
/
Rhabdomyolysis
/
Colonic Pseudo-Obstruction
/
Abdominal Pain
/
Colonoscopy
/
Colon
/
Creatine Kinase
/
Colon, Descending
/
Colon, Transverse
/
Dilatation
Limits:
Humans
/
Male
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2013
Type:
Article
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