He is a prof. at Wirral University Teaching Hospital, UK
Abstract
An interesting association between Recurrent Acute Pancreatitis and Myotonic Dystrophy, a case report.
Kesav Vijayagopal ,Mohamed Issa, Matthew Fok, Shafique Javed, Wirral University Teaching Hospital
Myotonic Dystrophy(MD) is autosomal dominant genetic condition affecting the musculoskeletal system. Recurrent acute pancreatitis(RAP) is a frequent presentation in the emergency surgical scenario with two or more episodes of established acute pancreatitis separated by a minimum 3 month periods. We report here a case of a patient presenting with a background of Myotonic Dystrophy with a third episode of RAP. Diagnositc work up led to the discovery of microlithiasis as the cause of possible pancreatitis in our patient. Literature review shows us the association between MD and many other conditions such as cardiac conduction defects however the association between pancreatitis and MD is limited to only two other case reports at the time of writing. In our case report, we discuss the association between MD and RAP through exploration of the pathophysiology of MD and it’s affect on the smooth muscles in the Gastrointestinal system.
