Cutting the Gordian knot: the blockage of the jejunal tube, a rare complication of Duodopa infusion treatment.
We present the case of a 21-year-old man with advanced refractory Parkinson's disease treated with Duodopa continuous infusion. With this therapy, the patient had a spectacular recovery but after six months, he experienced an aggravation of his symptoms. A failure of his pumping system was suspected but we discovered that the jejunal tube was blocked due to a knot around a bezoar. This is the first complication of this kind described with the Duodopa infusion technique.
Negreanu
Lucian M
LM
Gastroenterology Department, University Emergency Hospital, "Carol Davila" University of Medicine and Pharmacy Bucharest, 169 Splaiul Independentei Street, District 5, Bucharest, Romania. negreanu_99@yahoo.com
Lucian
Negreanu M
NM
Popescu
Bogdan Ovidiu
BO
Ovidiu
Popescu Bogdan
PB
Babiuc
Ruxandra Doina
RD
Doina
Babiuc Ruxandra
BR
Ene
Amalia
A
Amalia
Ene
E
Andronescu
Dan
D
Dan
Andronescu
A
Băjenaru
Ovidiu Alexandru
OA
Alexandru
Băjenaru Ovidiu
BO
D000978:Antiparkinson Agents / Q000008:administration & dosage* / Q000009:adverse effects*; D001630:Bezoars / Q000209:etiology* / Q000473:pathology; D002230:Carbidopa / Q000008:administration & dosage* / Q000009:adverse effects*; D004338:Drug Combinations; D005774:Gastrostomy; D006801:Humans; D007260:Infusion Pumps / Q000009:adverse effects; D007583:Jejunum; D007980:Levodopa / Q000008:administration & dosage* / Q000009:adverse effects*; D008297:Male; D010300:Parkinson Disease / Q000188:drug therapy*; D055815:Young Adult
D000978:Antiparkinson Agents; D004338:Drug Combinations; C009265:carbidopa, levodopa drug combination; D007980:Levodopa; D002230:Carbidopa