Extracutaneous Manifestations of Calciphylaxis: Ogilvie's Syndrome With Perforation. Issue 5 (May 2020)

• Record Type: Journal Article
• Authors: Mitchell, Thomas A.; Hoffer, Zachary S.; Cancio, Leopoldo C.
• Is Part Of: American surgeon. Volume 86:Issue 5(2020)
• Page Start: 546
• Page End: 548
• Publication Date: 2020-05
• Subjects: calciphylaxis; Surgery -- Periodicals; Surgery -- United States -- Periodicals; 617.0973
• DOI: 10.1177/0003134820919736
• Languages: English
• ISSNs: 0003-1348

Abstract

Calciphylaxis or calcific uremic arteriolopathy is a rare entity associated with the end-stage renal disease that presents with necrotic cutaneous lesions that may require surgical management. Extracutaneous manifestations of calciphylaxis including visceral ischemia have been reported; however, surgical intervention for colonic ischemia has only been reported twice. We report a 49-year-old male with calciphylaxis who subsequently developed Ogilvie's syndrome complicated by perforation requiring total abdominal colectomy with end ileostomy. Surgeons treating this disease should have a heightened awareness of the extracutaneous sequelae of calciphylaxis.