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Colonic varicella-zoster presented as an Ogilvie´s syndrome
Mafalda Sousa, Teresa Freitas, Ana Ponte, João Silva, Catarina Gomes, Edgar Afeto, João Carvalho
Centro Hospitalar de Vila Nova de Gaia e Espinho
A 73-years-old female patient presented with constipation, abdominal pain and distended abdomen. Abdominal X-ray showed megacolon and computed tomography revealed marked distension of the sigmoid colon and rectum. The patient underwent sigmoidoscopy depicting superficial triangular-shaped ulcers with dimensions from 5-20mm. Histopathological analysis showed edema, vascular congestion and lymphoplasmocytic infiltrate of the chorion with fibrin-leukocyte exudate and granulation tissue. The results of PCR testing were positive for varicella-zoster virus (VZV).
Patient started oral acyclovir with clinical improvement and resolution of the lesions on follow-up sigmoidoscopy.
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