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Case Reports in Surgery
Volume 2015 (2015), Article ID 563659, 4 pages
http://dx.doi.org/10.1155/2015/563659
Case Report

Herpes Zoster-Induced Ogilvie’s Syndrome

1General Surgery, Dow University of Health Sciences, Karachi 74200, Pakistan
2Dow University of Health Sciences, Karachi 74200, Pakistan
3Sindh Institute of Urology & Transplantation, Karachi 74200, Pakistan
4Internal Medicine, Cleveland Clinic Foundation, Cleveland, OH 44195, USA
5Thoracic & Cardiovascular Surgery, Cleveland Clinic Foundation, Cleveland, OH 44195, USA

Received 23 August 2015; Accepted 8 November 2015

Academic Editor: Fernando Turégano

Copyright © 2015 Irfan Masood et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Ogilvie’s syndrome due to herpes zoster infection is a rare manifestation of VZV reactivation. The onset of rash of herpes zoster and the symptoms of intestinal obstruction can occur at different time intervals posing a significant diagnostic challenge resulting in avoidable surgical interventions. Herein, we describe a case of 35-year-old male who presented with 6-day history of constipation and colicky abdominal pain along with an exquisitely tender and vesicular skin eruption involving the T8–T11 dermatome. Abdominal X-ray and ultrasound revealed generalized gaseous distention of the large intestine with air up to the rectum consistent with paralytic ileus. Colonoscopy did not show any obstructing lesion. A diagnosis of Ogilvie’s syndrome associated with herpes zoster was made. He was conservatively managed with nasogastric decompression, IV fluids, and acyclovir. The patient had an uneventful recovery and was later discharged.