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杜氏肌营养不良症中的急性胃扩张:一例报告

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

作者信息

Ramírez-Guerra Yhonatan R, Arizmendi-Villarreal Marco A, Zorrilla-Núñez Luis F, Muñoz-Maldonado Gerardo E

机构信息

Department of General Surgery, Hospital Universitario Dr. José Eleuterio González, Monterrey, MEX.

出版信息

Cureus. 2025 Mar 29;17(3):e81440. doi: 10.7759/cureus.81440. eCollection 2025 Mar.

Abstract

Duchenne muscular dystrophy (DMD) is an X-linked hereditary disease characterized by a structural defect in dystrophin, affecting muscle cells, leading to their progressive degeneration. Gastrointestinal manifestations are uncommon but can contribute to significant morbidity and mortality. Acute gastric dilatation is a rare clinical entity and the most severe complication of this spectrum. We present the case of a 16-year-old male patient with DMD who developed acute gastric dilatation, managed with decompression via nasogastric tube, intravenous fluids, and prokinetics, resulting in clinical improvement.

摘要

杜氏肌营养不良症(DMD)是一种X连锁遗传性疾病,其特征是肌营养不良蛋白存在结构缺陷,影响肌肉细胞,导致其进行性退化。胃肠道表现并不常见,但可导致严重的发病率和死亡率。急性胃扩张是一种罕见的临床病症,也是该病症最严重的并发症。我们报告一例16岁男性DMD患者发生急性胃扩张的病例,通过鼻胃管减压、静脉输液和促动力药进行治疗,临床症状得到改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ede/12038874/5687de8abb6c/cureus-0017-00000081440-i01.jpg

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