Ogilvie Syndrome in a Refractory Germ Cell Tumor Treated with Vinblastine, Ifosfamide and Cisplatin Regimen

Copyright © 2020 by S. Karger AG, Basel..

Ogilvie syndrome or intestinal pseudo-obstruction is a clinical syndrome characterized by autonomic imbalance affecting peristalsis of colon leading to obstructive signs and symptoms. The etiologies commonly implicated are drugs affecting the cholinergic system, narcotics, electrolyte imbalance, severe sepsis, cancer, major surgery, and renal and cardiac failure. Ogilvie syndrome secondary to chemotherapy is a very rare phenomenon with very few reports in the literature. Cisplatin-induced neuropathy has been reported to occur when the cumulative dose exceeds 360 mg/m2. It manifests predominantly as peripheral sensory neuropathy with autonomic neuropathy occurring very rarely in a subset of patients. All the reported cases to date who presented with autonomic dysfunction secondary to cisplatin also had peripheral sensory neuropathy. Herein, we report a case of metastatic nonseminomatous germ cell tumor treated with cisplatin based regimen, who presented with severe intestinal pseudo-obstruction when the cumulative dose exceeded 400 mg/m2 without any other manifestation of neuropathy. To our knowledge this is the first such case reported in the literature.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:13

Enthalten in:

Case reports in oncology - 13(2020), 3 vom: 28. Sept., Seite 1171-1175

Sprache:

Englisch

Beteiligte Personen:

Varayathu, Hrishi [VerfasserIn]
Shah, Mansi Sandip [VerfasserIn]
Sarathy, Vinu [VerfasserIn]
Thomas, Beulah Elsa [VerfasserIn]
Munirathnam, Vinayak [VerfasserIn]
Shivalingappa, Shivakumar Swamy [VerfasserIn]
Naik, Radheshyam [VerfasserIn]

Links:

Volltext

Themen:

Autonomic neuropathy
Case Reports
Cumulative toxicity
Drug-induced Ogilvie syndrome
Peripheral neuropathy

Anmerkungen:

Date Revised 30.03.2024

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1159/000510045

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM317411284