<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1665-1146</journal-id>
<journal-title><![CDATA[Boletín médico del Hospital Infantil de México]]></journal-title>
<abbrev-journal-title><![CDATA[Bol. Med. Hosp. Infant. Mex.]]></abbrev-journal-title>
<issn>1665-1146</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Salud, Hospital Infantil de México Federico Gómez]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1665-11462016000400250</article-id>
<article-id pub-id-type="doi">10.1016/j.bmhimx.2016.04.003</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Pseudo-obstrucción colónica aguda (síndrome de Ogilvie) post-trasplante renal]]></article-title>
<article-title xml:lang="en"><![CDATA[Acute colonic pseudo-obstruction (Ogilvie syndrome) post-renal transplant]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mier Escurra]]></surname>
<given-names><![CDATA[Erik Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz Prieto]]></surname>
<given-names><![CDATA[Talia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández Ortíz]]></surname>
<given-names><![CDATA[Sergio Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mier Saad]]></surname>
<given-names><![CDATA[Guillermo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valdes Cepeda]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="A01">
<institution><![CDATA[,Secretaria de Salud de Nuevo León Tecnológico de Monterrey Escuela de Medicina]]></institution>
<addr-line><![CDATA[Monterrey ]]></addr-line>
<country>México</country>
</aff>
<aff id="A02">
<institution><![CDATA[,Hospital Zambrano Hellion  ]]></institution>
<addr-line><![CDATA[Monterrey ]]></addr-line>
<country>México</country>
</aff>
<aff id="A03">
<institution><![CDATA[,Hospital Star Médica  ]]></institution>
<addr-line><![CDATA[ Aguascalientes]]></addr-line>
<country>México</country>
</aff>
<aff id="A04">
<institution><![CDATA[,Tec de Monterrey Hospital San José ]]></institution>
<addr-line><![CDATA[Monterrey ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2016</year>
</pub-date>
<volume>73</volume>
<numero>4</numero>
<fpage>250</fpage>
<lpage>255</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1665-11462016000400250&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1665-11462016000400250&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1665-11462016000400250&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción: La pseudo-obstrucción colónica aguda, conocida también como síndrome de Ogilvie, es una condición gastrointestinal poco frecuente en pediatría. Se caracteriza por una marcada dilatación del colon en estudios de imagen y ausencia de obstrucción mecánica. Los pacientes se presentan clásicamente con dolor abdominal y abdomen distendido, timpánico con peristalsis presente, acompañado de náusea y vómito. Hasta el 40% de los pacientes canalizan gases o evacúan. Este caso se reporta debido a lo raro que es este síndrome en pacientes infantiles y a que no hay casos reportados en un paciente pediátrico post-trasplante renal.  Caso clínico: Paciente masculino de 13 años de edad con antecedente de retraso psicomotor posterior a asfixia perinatal e insuficiencia renal crónica secundaria a hipoplasia renal bilateral. Fue tratado mediante diálisis peritoneal durante un año hasta la realización del trasplante renal. Se encuentra en manejo con inmunosupresores. Inició su padecimiento actual al presentar dolor abdominal leve acompañado de evacuaciones semilíquidas, posteriormente presentó distensión abdominal progresiva de hasta 78 cm de perímetro abdominal, por lo que se realizaron estudios de imagen. Se prescribieron medicamentos procinéticos, sin mejoría. Se realizaron 2 laparotomías exploratorias observándose bridas, sin datos de obstrucción mecánica. Se realizó una resonancia magnética abdominal, observándose importante dilatación intestinal sin datos de obstrucción mecánica. Se diagnosticó síndrome Ogilvie y se administró neostigmina, presentando resolución del cuadro clínico.  Conclusiones: Se reporta este caso debido a que es un síndrome muy raro en la edad pediátrica, existe poca sospecha clínica y hacen falta guías de manejo para el diagnóstico y tratamiento en pacientes infantiles.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Background: Acute colonic pseudo-obstruction, also known as Ogilvie syndrome, is a rare gastrointestinal syndrome in children. It is characterized by a marked dilatation of the colon evidenced by imaging and absence of mechanical obstruction. Patients typically present with abdominal pain and distended, tympanic abdomen, with peristalsis present, accompanied by nausea and vomiting. Up to 40% of patients can pass gas and/or have bowel movements. We decide to report this case because this syndrome is very rare in pediatric patients, and no cases have been reported in a post-renal transplant pediatric patient.  Case report: 13 year old male patient with past medical history of psychomotor retardation due to perinatal asphyxia and chronic renal failure secondary to bilateral renal hypoplasia. Treated with peritoneal dialysis for one year until kidney transplant was performed. Currently under immunosuppressive regime. He began his condition with mild abdominal pain accompanied by semi-liquid stools, and progressive distention up to 78 cm of abdominal circumference in 72 hours, so image studies were performed. Managed with prokinetic drugs without any improvement. Two exploratory laparotomies observed flanges, without evidence of any mechanical obstruction. An abdominal magnetic resonance was performed, where important intestinal dilatation was observed with no evidence of mechanical obstruction. Ogilvie Syndrome was diagnosed, so management with neostigmine was established, which led to symptom resolution.  Conclusions: This case is reported because this syndrome is very rare in children, there is little clinical suspicion and lack of management guides for diagnosis and treatment in patients of this age.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Pseudo-obstruction]]></kwd>
<kwd lng="en"><![CDATA[Ogilvie]]></kwd>
<kwd lng="en"><![CDATA[Transplant]]></kwd>
<kwd lng="en"><![CDATA[Immunosuppressive]]></kwd>
<kwd lng="es"><![CDATA[Pseudo-obstrucción]]></kwd>
<kwd lng="es"><![CDATA[Ogilvie]]></kwd>
<kwd lng="es"><![CDATA[Trasplante]]></kwd>
<kwd lng="es"><![CDATA[Inmunosupresores]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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