Visceral Myopathy Presenting as Acute Appendicitis and Ogilvie Syndrome
Joint Authors
Thakur, Raghvendra
Suo, Jian
Kharbuja, Punyaram
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-04-30
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Background.
Visceral myopathy is rare pathological condition of gastrointestinal tract with uncertain clinical presentation and unknown etiology.
It often presents with symptoms of chronic intestinal pseudoobstruction of colon.
We report a case of visceral myopathy which presented to us as acute appendicitis and Ogilvie syndrome, and we managed it surgically.
Method and Result.
A case report of 20-year female clinically presented as acute appendicitis and we performed laparoscopic exploration which revealed inflamed appendix with grossly dilated ascending colon.
We performed laparoscopic appendectomy and postoperatively managed the patients with IV fluids, antibiotics, neostigmine, and extended length rectal tube for enema and decompression.
During postoperative period, she developed abdomen distension and peritonitis, and we ordered abdomen CT which revealed colon pseudo- obstruction.
We performed right hemicolectomy with permanent ileostomy, and the histopathology reports of resected colon were visceral myopathy.
Conclusion.
Visceral myopathy is very rare group of disease and poorly understood condition that may present with chronic or acute intestinal pseudo-obstruction and often mimic other more common gastrointestinal disease.
VM should be considered as differential diagnosis whenever the patient presents with acute appendicitis, uncharacteristic abdominal symptoms, recurrent attacks of abdominal distention, and pain with no radiological evidence of intestinal obstruction.
American Psychological Association (APA)
Kharbuja, Punyaram& Thakur, Raghvendra& Suo, Jian. 2013. Visceral Myopathy Presenting as Acute Appendicitis and Ogilvie Syndrome. Case Reports in Surgery،Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-507018
Modern Language Association (MLA)
Kharbuja, Punyaram…[et al.]. Visceral Myopathy Presenting as Acute Appendicitis and Ogilvie Syndrome. Case Reports in Surgery No. 2013 (2013), pp.1-3.
https://search.emarefa.net/detail/BIM-507018
American Medical Association (AMA)
Kharbuja, Punyaram& Thakur, Raghvendra& Suo, Jian. Visceral Myopathy Presenting as Acute Appendicitis and Ogilvie Syndrome. Case Reports in Surgery. 2013. Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-507018
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-507018