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Case Reports
Non-operative treatment for perforated gastro-duodenal peptic ulcer in Duchenne muscular dystrophy: a case report.
- Justus-Martijn Brinkman, Jorg R Oddens, Barend J Van Royen, Jan Wever, and Jan G Olsman.
- Department of Orthopaedics, VU medical centre, Amsterdam, The Netherlands. jm.brinkman@zonnet.nl
- Bmc Surg. 2004 Jan 1;4:1.
BackgroundClinical characteristics and complications of Duchenne muscular dystrophy caused by skeletal and cardiac muscle degeneration are well known. Gastro-intestinal involvement has also been recognised in these patients. However an acute perforated gastro-duodenal peptic ulcer has not been documented up to now.Case PresentationA 26-year-old male with Duchenne muscular dystrophy with a clinical and radiographic diagnosis of acute perforated gastro-duodenal peptic ulcer is treated non-operatively with naso-gastric suction and intravenous medication. Gastrointestinal involvement in Duchenne muscular dystrophy and therapeutic considerations in a high risk patient are discussed.ConclusionNon-surgical treatment for perforated gastro-duodenal peptic ulcer should be considered in high risk patients, as is the case in patients with Duchenne muscular dystrophy. Patients must be carefully observed and operated on if non-operative treatment is unsuccessful.
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