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

摘要

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.