A case of gastric wall perforation associated with nasogastric intubation in Fukuyama type congenital muscular dystrophy.

Abstract

In patients with severe motor and intellectual disabilities, tube feeding with nasogastric intubation is usually selected if they are unable to take anything by mouth because of feeding disorder and swallowing disturbance. Complications that can arise from nasogastric intubation include incorrect insertion into the trachea, insertion into the esophagus and gastrointestinal tract ulceration. We recently encountered a patient with Fukuyama type congenital muscular dystrophy (FCMD) with gastric wall perforation associated with nasogastric intubation. Gastric wall perforation is a rare in complication arising from nasogastric intubation, but we consider that this patient’s underlying disease was FCMD, so dilatation of the stomach as a result of air swallowing may have induced gastric wall perforation.