Resolution of herpes zoster-induced small bowel pseudo-obstruction by epidural nerve block:A case report  

作　　者：You-Cai Lin Xiao-Guang Cui Li-Zhu Wu Dong-Qing Zhou Qi Zhou 

机构地区：[1]Department of Anesthesiology,The First Affiliated Hospital of Hainan Medical University,Haikou 570102,Hainan Province,China

出　　处：《World Journal of Clinical Cases》2022年第27期9873-9878,共6页世界临床病例杂志

摘　　要：BACKGROUND When herpes zoster is complicated with paralytic ileus,this mostly involves acute intestinal pseudo-obstruction of Ogilvie’s syndrome manifesting as obvious dilatation of the cecum and right colon;small intestinal obstruction is rare.Here,we present a patient with a very rare case of small bowel pseudo-obstruction.CASE SUMMARY A 76-year-old female patient complained of right upper quadrant pain.Two days later,a blistering,right-sided rash of the thoracoabdominal dermatome(T5-T10) emerged in conjunction with small intestinal dilatation and the inability to defecate.Computed tomography of the abdomen confirmed small bowel pseudoobstruction.Antiviral therapy,gastrointestinal decompression,and enemas proved unproductive.After 4 d of stagnation,an epidural block was performed for pain relief and prompted the passage of gas and stool,resolving the obstructive problem.Three days later,the rash appeared dry and crusted,and the pain diminished.After 5 d,no abnormality was visible by gastroenteroscopy,and the patient was discharged on day 7.CONCLUSION This case shows that herpes zoster may induce small bowel pseudo-obstruction in addition to colonic pseudo-obstruction.Epidural block can not only treat intercostal neuralgia but also resolve small bowel pseudo-obstruction caused by herpes zoster.

关 键 词：Herpes zoster virus Ogilvie’s syndrome Small bowel pseudo-obstruction Epidural nerve block Case report 

分 类 号：R614[医药卫生—麻醉学]