Parkinson Hastalığına Sekonder Ogilvie Sendromu: Yanlış Bir Tanı

Öz

Parkinson hastalığının (PH) sürecinin bir parçası olarak otonomik disfonksiyon gelişebilmektedir. Gastrointestinal disfonksiyon da disotonominin en yaygın belirtilerinden biridir. Parkinson hastalığında genellikle kolonda pseudo-obstruksiyon (Ogilvie sendromu), olarak adlandırılan mekanik bir obstrüksiyon olmadan ileri derecede kolon dilatasyonu ile karakterize paralitik ileus gelişmektedir. Ancak ayrıcı tanıda mutlaka mekanik obstruksiyon yapan nedenler düşünülmelidir. Biz bu çalışmada öncelikle Ogilvie sendromu düşünülen ancak kitleye ikincil mekanik ileus saptanan PH hastasını sunmayı amaçladık.

Anahtar Kelimeler

• Parkinson
• dysautonomia
• ileus
• Ogilvie’s syndrome

Ogilvie’s Syndrome Secondary to Parkinson’s disease: A Dangerous Misdiagnosis

Öz

Autonomic dysfunction may develop as part of the process of Parkinson's disease (PD). Gastrointestinal dysfunction is also one of the most common manifestations of dysautonomia. Paralytic ileus, which is characterized by severe colonic dilatation without mechanical obstruction, usually develops in PD, called pseudo-obstruction of the colon (Ogilvie's syndrome). However, causes of mechanical obstruction should be considered in the differential diagnosis. In this study, we aimed to present a PD patient who was initially thought to have Ogilvie’s syndrome but was found to have mechanical ileus.

Anahtar Kelimeler

• dysautonomia
• ileus
• Ogilvie’s syndrome
• Parkinson's disease, dysautonomia, ileus, Ogilvie’s syndrome

Kaynakça

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