title: Intestinal pseudo-obstruction syndrome in a child with myotonic dystrophy.
abstract: 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.
authors.affiliation: Department of Pediatrics, University Hospital Nijmegen, Netherlands.
authors.forename: J F
authors.initials: JF
authors.lastname: Bruinenberg
authors.forename: P N
authors.initials: PN
authors.lastname: Rieu
authors.forename: F M
authors.initials: FM
authors.lastname: Gabreëls
authors.forename: J
authors.initials: J
authors.lastname: Tolboom
mesh_terms: 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