Pediatric Radiology

, Volume 14, Issue 1, pp 28–30 | Cite as

Duodenal perforation in childhood dermatomyositis

  • H. L. Magill
  • S. D. Hixson
  • G. Whitington
  • M. Igarashi
  • A. Hannissian


Perforation of the duodenum is an uncommon, but serious complication which may occur in children with dermatomyositis. In this disease vasculitis may involve the bowel to a variable extent and result in radiologic manifestations of intestinal injury ranging from benign pneumatosis intestinalis to signs of bowel perforation. We report two children with dermatomyositis in whom perforation of the second portion of the duodenum occurred. This serious complication should be considered in any child with dermatomyositis when extraluminal gas is suspected on abdominal radiographs.

Key words

Dermatomyositis in childhood Dermatomyositis, gastrointestinal complications Duodenal perforation Retroperitoneal gas collection Retroperitoneum 


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  1. 1.
    Bohan A, Peter JB (1975) Polymyositis and dermatomyositis. N Engl J Med 344: 407Google Scholar
  2. 2.
    Carpenter S, Karpati G, Rotham S, Watters G (1976) The childhood type of dermatomyositis. Neurology CNY 26: 952Google Scholar
  3. 3.
    Pachman LM, Cooke N (1980) Juvenile dermatomyositis: A clinical and immunologic study. J Pediatr 96: 226PubMedGoogle Scholar
  4. 4.
    Banker BQ, Victor M (1966) Dermatomyositis (systemic angiopathy) of childhood. Medicine (Baltimore) 45: 261Google Scholar
  5. 5.
    Kleckner FS (1970) Dermatomyositis and its manifestations in the gastrointestinal tract. Am J Gastroenterol 53: 141PubMedGoogle Scholar
  6. 6.
    Oliveros MA, Herbst JJ, Lester PD, Ziter FA (1973) Pneumatosis intestinalis in childhood dermatomyositis. Pediatrics 52: 711PubMedGoogle Scholar
  7. 7.
    Hanson V (1976) Dermatomyositis, Scleroderma and polyarteritis nodosa. Clin Rheum Dis 2: 445Google Scholar
  8. 8.
    Fischer TJ, Cipel L, Stiehm ER (1978) Penumatosis intestinalis associated with fatal childhood dermatomyositis. Pediatrics 6: 127Google Scholar
  9. 9.
    Mueller CR, Morehead R, Alter AJ, Michener W (1972) Pneumatosis intestinalis in collagen disorders. AJR 115: 300Google Scholar
  10. 10.
    Braunstein EM, White SJ (1980) Pneumatosis intestinalis in dermatomyositis. Br J Radiol 53: 1011PubMedGoogle Scholar
  11. 11.
    Meyers MA (1974) Radiological features of the spread and localization of extraperitoneal gas and their relationship to its source. Radiology 111: 17PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1984

Authors and Affiliations

  • H. L. Magill
    • 1
  • S. D. Hixson
    • 2
  • G. Whitington
    • 3
  • M. Igarashi
    • 3
  • A. Hannissian
    • 3
  1. 1.Department of RadiologyUniversity of Tennessee Center for the Health Sciences, LeBonheur Children's Medical CenterMemphisUSA
  2. 2.Department of SurgeryUniversity of Tennessee Center for the Health Sciences, LeBonheur Children's Medical CenterMemphisUSA
  3. 3.Department of PediatricsUniversity of Tennessee Center for the Health Sciences, LeBonheur Children's Medical CenterMemphisUSA

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