Document Detail


The management of gastric perforation in a girl with Rett syndrome: report of a case.
MedLine Citation:
PMID:  20149564     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
INTRODUCTION: Rett syndrome is a neurologically disorder that affects approximately one in 10,000 females.
CASE REPORT: A 21-year-old girl with Rett syndrome was hospitalized for abdominal distention and pain. Physical examination revealed abdominal tenderness. Radiology investigation revealed bilateral free air in subdiaphragmatic area. Gastric perforation observed at laparotomy. Primary suturing and omentoplasty were performed. In the follow-up, the symptoms of intestinal obstruction occurred. Conservative treatment failed and second intervention was performed. At laparotomy severe gastric and intestinal dilatation and bowel adhesions were detected. Adhesiolysis, tube gastrostomy, and feeding jejunostomy performed.
DISCUSSION: Rett syndrome and associated gastric complications are uncommon. These pathologic disorders may cause gastric, intestinal necrosis, intestinal obstructions. Because of the late occurring of physical findings and insidious presentation of the gastrointestinal perforations in Rett syndrome, physicians should keep in mind this rare entity to reduce morbidity and mortality.
Authors:
Atakan Sezer; Mehmet Ali Yagcı; Ahmet Rahmi Hatipoglu
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Publication Detail:
Type:  Journal Article     Date:  2010-02-09
Journal Detail:
Title:  Brain & development     Volume:  33     ISSN:  1872-7131     ISO Abbreviation:  Brain Dev.     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2010-12-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7909235     Medline TA:  Brain Dev     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  83-5     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier B.V. All rights reserved.
Affiliation:
Department of Surgery, Faculty of Medicine, Trakya University, Edirne 22030, Turkey. atakansezer@hotmail.com
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