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Choi, Choi, Kim, and Kim: Accidentally Diagnosed Myotonic Dystrophy after Cholecystectomy
Case Report
Journal of the Korean Surgical Society

Journal of the Korean Surgical Society 2010; 79(Suppl 1): S50-S53.

Published online: 31 December 2010

DOI: https://doi.org/10.4174/jkss.2010.79.Suppl1.S50

Accidentally Diagnosed Myotonic Dystrophy after Cholecystectomy

Young Kil Choi, Ph.D., Chang Su Choi, Ph.D., Kwang Hee Kim, Ph.D., Yoon Jung Kim, M.D.

Department of Surgery, Inje University College of Medicine, Busan, Korea.

Corresponding author (gscyk@inje.ac.kr)

Received 21 April 2010       Accepted 13 July 2010

Copyright © 2010 The Korean Surgical Society

Abstract

Myotonic dystrophy is the most common systemic disease causing myotonia. We report the case of respiratory failure in a patient with myotonic dystrophy after laparoscopic cholecystectomy. We carried out neurologic testing, electromyography and DNA testing in this patient and electromyography in the family of the patient. Through electromyography and DNA testing, this patient was diagnosed with myotonic dystrophy type I. Myotonic dystrophy is characterized by gradual decline of muscle tone and myotonia. It is important that this disease be excluded through preoperative history taking, physical examination and family history taking.

Keywords: Myotonic dystrophy, Laparoscopic cholecystectomy, Respiratory failure

Figures and Tables

Fig. 1
CTG repetition in myotonic dystrophy protein kinase gene.
jkss-79-S50-g001

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