Jf. Nomdedeu et al., OGILVIES-SYNDROME FROM DISSEMINATED VARICELLA-ZOSTER INFECTION AND INFARCTED CELIAC GANGLIA, Journal of clinical gastroenterology, 20(2), 1995, pp. 157-159
We report a patient who had refractory Hodgkin's disease and who recei
ved an autologous bone marrow transplantation and 8 months later devel
oped abdominal pain associated with acute colonic dilation. The course
of the patient was rapidly fatal due to a lobar pneumonia. Autopsy re
vealed signs of disseminated herpesvirus infection with marked hemorrh
agic infarction of celiac sympathetic ganglia. This finding supports t
he hypothesis that denervation caused by virus reactivation and second
ary hemorrhage is a main mechanism of acute colonic pseudoobstruction.