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

Authors

  • Shashi Rekha Sri Devarj Urs Medical College, Tamaka, Kolar Karnataka 563101.
  • Nagaraj K N Sri Devarj Urs Medical College, Tamaka, Kolar Karnataka 563101.
  • Lakshmaiah V Sri Devarj Urs Medical College, Tamaka, Kolar Karnataka 563101.
  • Iram Shaikh Sri Devarj Urs Medical College, Tamaka, Kolar Karnataka 563101.

DOI:

https://doi.org/10.7439/ijbar.v3i9.739

Keywords:

Glycosylated hemoglobin (HbA1c), Hemoglobin (Hb), diabetes mellitus (DM), chronic kidney disease (CKD)

Abstract

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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Author Biographies

  • Shashi Rekha, Sri Devarj Urs Medical College, Tamaka, Kolar Karnataka 563101.
    Assistant Professor, Dept. of General Surgery,
  • Nagaraj K N, Sri Devarj Urs Medical College, Tamaka, Kolar Karnataka 563101.
    Professor, Dept. of General Surgery.
  • Lakshmaiah V, Sri Devarj Urs Medical College, Tamaka, Kolar Karnataka 563101.
    Professor, Dept. of Medicine.

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Published

2012-10-01

Issue

Vol. 3 No. 9 (2012): Sep

Section

Case Report

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How to Cite

Duodenal perforation with post operative complications - Central Pontine Myelinosis a rare presentation : A Multidisciplinary approach in management. (2012). International Journal of Biomedical and Advance Research, 3(9), 730-732. https://doi.org/10.7439/ijbar.v3i9.739
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