Intestinal pseudo-obstruction syndrome in a child with myotonic dystrophy.
Gastrointestinal symptoms in myotonic dystrophy are increasingly observed, but major intestinal movement disorders such as intestinal pseudo-obstruction appear to be an infrequent complication. We describe a 13-year-old boy who, after appendectomy, developed intestinal pseudo-obstruction syndrome as the first clinical manifestation of myotonic dystrophy. He developed several similar episodes thereafter, which responded to conservative measures. When a child with myotonic dystrophy presents with an ileus, the diagnosis of intestinal pseudo-obstruction should be considered and therapy should then be conservative.
Bruinenberg
J F
JF
Department of Pediatrics, University Hospital Nijmegen, Netherlands.
Rieu
P N
PN
Gabreëls
F M
FM
Tolboom
J
J
D000293:Adolescent; D001062:Appendectomy; D001064:Appendicitis / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D007418:Intestinal Pseudo-Obstruction / Q000175:diagnosis / Q000235:genetics* / Q000601:surgery; D008297:Male; D009223:Myotonic Dystrophy / Q000175:diagnosis / Q000235:genetics* / Q000601:surgery; D010348:Patient Care Team; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D012008:Recurrence; D012086:Reoperation