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- 01HSAXS0ERJ5NHNFMZDNEVD8NJ classification C3.
- 01HSAXS0ERJ5NHNFMZDNEVD8NJ date "2024".
- 01HSAXS0ERJ5NHNFMZDNEVD8NJ language "eng".
- 01HSAXS0ERJ5NHNFMZDNEVD8NJ type conference.
- 01HSAXS0ERJ5NHNFMZDNEVD8NJ hasPart 01HSAY15BWHQHE7NC72Z1W6ATF.pptx.
- 01HSAXS0ERJ5NHNFMZDNEVD8NJ subject "Medicine and Health Sciences".
- 01HSAXS0ERJ5NHNFMZDNEVD8NJ presentedAt urn:uuid:fc342bf4-362f-42db-9f85-e4451f693a1c.
- 01HSAXS0ERJ5NHNFMZDNEVD8NJ abstract "Case description: A 12-year old girl was hospitalized in a peripheral hospital. She had been suffering from muscle pains and edema for over a month, that had started after an episode of fever and throat pain. At admission, the diagnosis of viral myositis was made. She was transferred to the pediatric intensive care unit of Ghent University Hospital. Juvenile dermatomyositis was suspected, and high dose corticosteroids were initiated. A week after admission, she developed abdominal pain and distension combined with respiratory deterioration. RX thorax showed a significant amount of intraperitoneal air, so a CT abdomen was performed. This showed significant free air and fluid, caused by an intestinal perforation. Exploratory laparoscopy revealed a large perforation of the duodenum which was sutured laparoscopically and combined with an omentoplasty. A week after surgery, a fall in hemoglobin level from 8.1 to 5.0 g/dL was noticed. Moreover, blood was aspirated from the nasogastric tube and melena was present. Gastroscopy confirmed a large duodenal ulcer that was treated with gel application. Control gastroscopies in the week afterwards showed positive evolution of the ulcer. However, two days after the third gastroscopy, her abdomen started to become tender and distended. Gastroscopy and CT scan revealed a recurrence of the duodenal bulb perforation. An exploratory laparotomy was performed. This revealed a contaminated abdomen with biliary peritonitis. A perforation at the earlier suture was identified, but it had become more of a laceration and extended into the descending part of the duodenum. A Billroth 2 resection was deemed unfeasible, so a Whipple resection was performed. No reconstructions were made immediately and both pancreas and biliary tract were derived externally. Anastomoses could be performed two days later. The patient was weaned from sedation and ventilation two weeks later. Peroral feeding was initiated a month after surgery. She was transferred to a regular pediatric unit two months after initial admission and is currently doing well. Conclusion: Juvenile dermatomyositis with gastrointestinal perforation is extremely rare and lethal according to literature. We present a case in which aggressive surgery lead to survival of the patient.".
- 01HSAXS0ERJ5NHNFMZDNEVD8NJ author 0076EFA4-F0EE-11E1-A9DE-61C894A0A6B4.
- 01HSAXS0ERJ5NHNFMZDNEVD8NJ author 13BCD754-F0EE-11E1-A9DE-61C894A0A6B4.
- 01HSAXS0ERJ5NHNFMZDNEVD8NJ author 191BE484-2A48-11E4-AF6D-F215B5D1D7B1.
- 01HSAXS0ERJ5NHNFMZDNEVD8NJ author 2a153e17-38e0-11eb-9f20-db56d6ffa462.
- 01HSAXS0ERJ5NHNFMZDNEVD8NJ dateCreated "2024-03-19T08:38:18Z".
- 01HSAXS0ERJ5NHNFMZDNEVD8NJ dateModified "2024-07-09T15:33:12Z".
- 01HSAXS0ERJ5NHNFMZDNEVD8NJ name "A 12-year old with a duodenal bulb perforation".
- 01HSAXS0ERJ5NHNFMZDNEVD8NJ pagination urn:uuid:3587cd0e-ff3d-466a-825c-6e9eeb5e092e.
- 01HSAXS0ERJ5NHNFMZDNEVD8NJ sameAs LU-01HSAXS0ERJ5NHNFMZDNEVD8NJ.
- 01HSAXS0ERJ5NHNFMZDNEVD8NJ sourceOrganization urn:uuid:6bd5fe5c-e76d-4a30-b9da-e20b5650d43d.
- 01HSAXS0ERJ5NHNFMZDNEVD8NJ sourceOrganization urn:uuid:e42650ef-94e0-4711-ac2a-127ea15706f6.
- 01HSAXS0ERJ5NHNFMZDNEVD8NJ type C3.