1. Acute Colonic Pseudo-obstruction Induced by Neuroleptic Malignant Syndrome
- Author
-
Jong Hoon Lee, Jong Yoon Lee, and Sung Ju Ryu
- Subjects
Abdominal pain ,medicine.medical_specialty ,neuroleptic malignant syndrome ,urologic and male genital diseases ,Gastroenterology ,Pathogenesis ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Republic of Korea ,medicine ,Humans ,Gastrointestinal tract ,business.industry ,colonic pseudo-obstruction ,General Medicine ,Abdominal distension ,medicine.disease ,Neuroleptic malignant syndrome ,schizophrenia ,Autonomic nervous system ,Colonic Pseudo-Obstruction ,Schizophrenia ,030220 oncology & carcinogenesis ,Medicine ,030211 gastroenterology & hepatology ,medicine.symptom ,business - Abstract
A colonic pseudo-obstruction is a disorder that causes abdominal distension and abdominal pain similar to a mechanical obstruction, but there are no structural lesions that can obstruct the gastrointestinal tract. This condition can be acute or chronic. An acute colonic pseudo-obstruction, also called Ogilvie's syndrome, is believed to be a condition induced by other causes that are different from a chronic colonic pseudo-obstruction. The pathogenesis involves abnormalities in the autonomic nervous system induced by systemic diseases or medications, and it often improves when the primary causes are treated. On the other hand, a chronic colonic pseudo-obstruction can occur repeatedly without a particular cause. The authors encountered neuroleptic malignant syndrome that caused acute colonic pseudo-obstruction. This paper reports a case with a review of the relevant literature. This is the first case reported in Korea. This case shows that physicians should consider neuroleptic malignant syndrome as a cause of an acute colonic pseudo- obstruction.
- Published
- 2021