Duodenal perforation with post operative complications - Central Pontine Myelinosis a rare presentation : A Multidisciplinary approach in management. | Zendy

Shashi Rekha | Zendy; Kapil Nagaraj | Zendy; V Lakshmaiah | Zendy; Iram Shaikh | Zendy

Open Access

Duodenal perforation with post operative complications - Central Pontine Myelinosis a rare presentation : A Multidisciplinary approach in management.

Author(s) -

Shashi Rekha,

Kapil Nagaraj,

V 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.

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