Anaya-Prado R, Pérez-Navarro JV, Corona-Nakamura A, Anaya-Fernández MM, Anaya-Fernández R, Izaguirre-Pérez ME. Intestinal pseudo-obstruction caused by herpes zoster: Case report and pathophysiology. World J Clin Cases 2018; 6(6): 132-138 [PMID: 29988868 DOI: 10.12998/wjcc.v6.i6.132]
Corresponding Author of This Article
Roberto Anaya-Prado, MD, PhD, FACS, Director, Division of Research at Autonomous University of Guadalajara, Blvd, Puerta de Hierro No 5150, Edificio B, Segundo Piso, Despacho 201-B. Fraccionamiento Corporativo Zapopan, CP. 45110. Zapopan, Guadalajara, JAL 45200 México. robana@prodigy.net.mx
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jun 16, 2018; 6(6): 132-138 Published online Jun 16, 2018. doi: 10.12998/wjcc.v6.i6.132
Intestinal pseudo-obstruction caused by herpes zoster: Case report and pathophysiology
Roberto Anaya-Prado, José V Pérez-Navarro, Ana Corona-Nakamura, Michelle M Anaya-Fernández, Roberto Anaya-Fernández, Marian Eliza Izaguirre-Pérez
Roberto Anaya-Prado, José V Pérez-Navarro, Department of Surgery at Western Medical Center, the Mexican Institute of Social Security, Guadalajara, JAL 44340, México
Roberto Anaya-Prado, Michelle M Anaya-Fernández, Marian Eliza Izaguirre-Pérez, Division of Research at Autonomous University of Guadalajara, Guadalajara, JAL 45200, México
Ana Corona-Nakamura, Department of Infectious Diseases at Western Medical Center, the Mexican Institute of Social Security, Guadalajara, JAL 44340, México
Roberto Anaya-Fernández, Division of Research at University of Guadalajara, Guadalajara, JAL 44340, México
Author contributions: Anaya-Prado R and Pérez-Navarro JV designed the report; Anaya-Fernández MM and Anaya-Fernández R collected the patient’s clinal data; Corona-Nakamura A and Izaguirre-Pérez ME analysed the data and wrote the paper.
Informed consent statement: The patient involved in this study gave his written informed consent authorizing use and disclosure of his protected health information.
Conflict-of-interest statement: The authors declare no conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Roberto Anaya-Prado, MD, PhD, FACS, Director, Division of Research at Autonomous University of Guadalajara, Blvd, Puerta de Hierro No 5150, Edificio B, Segundo Piso, Despacho 201-B. Fraccionamiento Corporativo Zapopan, CP. 45110. Zapopan, Guadalajara, JAL 45200 México. robana@prodigy.net.mx
Telephone: +52-33-38485410
Received: February 7, 2018 Peer-review started: February 8, 2018 First decision: April 13, 2018 Revised: April 27, 2018 Accepted: May 15, 2018 Article in press: May 15, 2018 Published online: June 16, 2018 Processing time: 133 Days and 6.1 Hours
Abstract
Herpes zoster (HZ) infection occurs in approximately 10% to 30% of individuals. Visceral neuropathies secondary to HZ can cause cystitis and urinary retention. But colonic pseudo-obstruction can also occur. Peripheral neuropathy may reveal segmental motor paresis of either upper or lower limbs, the abdominal muscles or the diaphragm. We report the case of a 62-year-old male patient who presented with abdominal distention and cutaneous vesicular eruption on the left side of the abdominal wall. Plain X-rays and computed tomography scan showed distended small bowel. A diagnosis of intestinal pseudo-obstruction was made secondary to segmental paresis of the small intestine and visceral neuropathy. Conservative management was successful and the patient was discharged uneventfully. Intestinal pseudo-obstruction ought to be considered when dealing with non-obstructive (adynamic) conditions of the digestive tract associated with HZ infection; since early recognition may help to avoid unnecessary surgery.
Core tip: Ogylvie’s syndrome secondary to herpes zoster has been reported as a rare non-surgical complication; but paralytic ileus has received little attention after varicella-zoster reactivation. We report the case of intestinal pseudo-obstruction secondary to small bowel paresis. Possible mechanisms for small bowel involvement and pathophysiology are deeply analysed.
