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巨大胃:杜氏肌营养不良症的一种罕见表现

Gigantic Stomach: A Rare Manifestation of Duchenne Muscular Dystrophy.

作者信息

Dhaliwal Amaninder, Madiraju Sarvani, Dhindsa Banreet S, Hassen Getaw W, Rochling Fedja A

机构信息

Gastroenterology, University of Nebraska Medical Center, Omaha, USA.

Miscellaneous, St. George's University, St. George, GRD.

出版信息

Cureus. 2019 May 7;11(5):e4609. doi: 10.7759/cureus.4609.


DOI:10.7759/cureus.4609
PMID:31309032
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6609291/
Abstract

Duchenne muscular dystrophy (DMD) is characterized by degeneration and atrophy of skeletal, cardiac, and smooth muscles after a latent period of apparently normal development and function. The gastrointestinal manifestations start in the second decade of life and are mainly due to atrophy of smooth muscle layers.Refractory gastroparesis and chronic constipation can lead to severe gastric and small bowel dilatation, which can be life threatening. Here, we present a case of a 21-year-old male with a gigantic stomach secondary to DMD resolved with conservative management and no surgical intervention.

摘要

杜氏肌营养不良症(DMD)的特征是在经历一段明显正常发育和功能的潜伏期后,骨骼肌、心肌和平滑肌发生变性和萎缩。胃肠道表现始于生命的第二个十年,主要是由于平滑肌层萎缩。难治性胃轻瘫和慢性便秘可导致严重的胃和小肠扩张,这可能危及生命。在此,我们报告一例21岁男性因DMD继发巨大胃,经保守治疗而未进行手术干预后病情得到缓解的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e98/6609291/b324a481cc69/cureus-0011-00000004609-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e98/6609291/47ebd52f079b/cureus-0011-00000004609-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e98/6609291/5b6dc7ebdfb6/cureus-0011-00000004609-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e98/6609291/75203f28777c/cureus-0011-00000004609-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e98/6609291/b324a481cc69/cureus-0011-00000004609-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e98/6609291/47ebd52f079b/cureus-0011-00000004609-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e98/6609291/5b6dc7ebdfb6/cureus-0011-00000004609-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e98/6609291/75203f28777c/cureus-0011-00000004609-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e98/6609291/b324a481cc69/cureus-0011-00000004609-i04.jpg

相似文献

[1]
Gigantic Stomach: A Rare Manifestation of Duchenne Muscular Dystrophy.

Cureus. 2019-5-7

[2]
Gastrointestinal Dysfunction in Patients with Duchenne Muscular Dystrophy.

PLoS One. 2016-10-13

[3]
[Acute gastric dilatation in Duchenne's muscular dystrophy].

Ned Tijdschr Geneeskd. 2000-11-11

[4]
Evolution of gastric electrical features and gastric emptying in children with Duchenne and Becker muscular dystrophy.

Am J Gastroenterol. 2005-3

[5]
Acute gastroparesis in Duchenne's muscular dystrophy.

Yonsei Med J. 1998-4

[6]
Acute gastric dilatation in Duchenne muscular dystrophy: a case report and review of the literature.

Arch Phys Med Rehabil. 1996-5

[7]
Skeletal, cardiac, and smooth muscle failure in Duchenne muscular dystrophy.

Pediatr Neurol. 1996-1

[8]
Alterations in Notch signalling in skeletal muscles from mdx and dko dystrophic mice and patients with Duchenne muscular dystrophy.

Exp Physiol. 2014-4

[9]
Whole-body clearing, staining and screening of calcium deposits in the mdx mouse model of Duchenne muscular dystrophy.

Skelet Muscle. 2018-7-19

[10]
Pre-clinical evaluation of N-acetylcysteine reveals side effects in the mdx mouse model of Duchenne muscular dystrophy.

J Physiol. 2017-9-30

引用本文的文献

[1]
Navigating gastrointestinal challenges in genetic myopathies: Diagnostic insights and future directions.

World J Methodol. 2025-12-20

[2]
Acute Gastric Dilatation in Duchenne Muscular Dystrophy: A Case Report.

Cureus. 2025-3-29

[3]
Treatment of giant fecalith colonic obstruction in a patient with Duchenne muscular dystrophy using endoscopic injection of hydrogen peroxide: a case report and literature review.

Front Med (Lausanne). 2024-12-4

[4]
Exploring the Gut Microbiota-Muscle Axis in Duchenne Muscular Dystrophy.

Int J Mol Sci. 2024-5-21

[5]
Gut dysmotility in children with neurological impairment: the nutritional management.

Front Neurol. 2023-5-5

[6]
Age Related Burden of Swallowing in Adult Patients Affected by Duchenne Muscular Dystrophy.

J Neuromuscul Dis. 2023

[7]
Prevalence of Bladder and Bowel Dysfunction in Duchenne Muscular Dystrophy Using the Childhood Bladder and Bowel Dysfunction Questionnaire.

Life (Basel). 2021-7-30

本文引用的文献

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Ned Tijdschr Geneeskd. 2000-11-11

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Yonsei Med J. 1998-4

[8]
Acute gastric dilatation in Duchenne muscular dystrophy: a case report and review of the literature.

Arch Phys Med Rehabil. 1996-5

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Gastric hypomotility in Duchenne's muscular dystrophy.

N Engl J Med. 1988-7-7

[10]
Acute gastric dilatation as a manifestation of Duchenne's muscular dystrophy.

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