Open AccessDuodenal perforation with post operative complications - Central Pontine Myelinosis a rare presentation : A Multidisciplinary approach in management.
Author(s) -
Shashi Rekha,
Kapil Nagaraj,
Lakshmaiah,
Iram Shaikh
Publication year - 2012
Publication title -
international journal of biomedical and advance research
Language(s) - English
Resource type - Journals
eISSN - 2455-0558
pISSN - 2229-3809
DOI - 10.7439/ijbar.v3i9.739
Subject(s) - medicine , surgery , presentation (obstetrics) , perforation , exploratory laparotomy , peritonitis , pneumonia , laparotomy , materials science , punching , metallurgy
An elderly male presented with classical complaints suggestive of perforated duodenal ulcer with peritonitis in shock. After hemodynamic stabilization and baseline workup, the patient was subjected to laparotomy. Per-operatively, the patient had to be started on ionotropic supports. Immediate post operative, the patient had a cardiac arrest and was kept on ventilator and ionotropic supports. Subsequently, the patient developed Central Pontine Myelinosis , ventilator associated pneumonia, wound dehiscence and bed sores which were managed accordingly. The patient was meticulously treated with a multidisciplinary approach and was discharged satisfactorily.