Dhaliwal Amaninder, Madiraju Sarvani, Dhindsa Banreet S, Hassen Getaw W, Rochling Fedja A
Gastroenterology, University of Nebraska Medical Center, Omaha, USA.
Miscellaneous, St. George's University, St. George, GRD.
Cureus. 2019 May 7;11(5):e4609. doi: 10.7759/cureus.4609.
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.
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。
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