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KMID : 0614620210770060313
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Korean Journal of Gastroenterology
2021 Volume.77 No. 6 p.313 ~ p.316
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Acute Colonic Pseudo-obstruction Induced by Neuroleptic Malignant Syndrome
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Ryu Sung-Ju
Lee Jong-Yoon
Lee Jong-Hoon
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Abstract
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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.
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KEYWORD
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Colonic pseudo-obstruction, Neuroleptic malignant syndrome, Schizophrenia
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