Acute gastric dilatation in a patient with severe anorexia nervosa: a case report

Author:

Pitre Tyler,Mah JasmineORCID,Vertes Jaclyn,Tugwell Barna

Abstract

Abstract Background Acute gastric dilatation (AGD) leading to gastric necrosis and perforation has been reported to be a rare but fatal complication in young patients with eating disorders, particularly anorexia nervosa. Case presentation We report a case of a Canadian female patient presenting with mild abdominal pain, with a history of anorexia nervosa, the binge/purge subtype, who was found to have severe acute gastric dilatation on subsequent computed tomography imaging. Her clinical course was uncomplicated after gastric decompression. The cause of her AGD was thought to be secondary to dysmotility disorder caused by her anorexia nervosa. Conclusion Our case report demonstrates the importance of clinical identification of AGD and subsequent diagnosis and management. Because of the urgency to rule out obstruction or perforation through consultation or additional imaging modalities, recognition and correct diagnosis of this condition is necessary for appropriate patient management. In addition, our case report adds to an underreported but important complication of anorexia nervosa.

Publisher

Springer Science and Business Media LLC

Subject

General Medicine

Cited by 5 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Consider Eating Disorders in the Differential Diagnosis of Acute Abdomen in the Ages of Adolescence;Turkish Journal of Pediatric Emergency and Intensive Care Medicine;2023-08-01

2. Acute massive gastric dilatation with multiple organ sequelae: A case report;Journal of Pediatric Surgery Case Reports;2023-06

3. Gastric dilatation in patients with restrictive eating disorders;International Journal of Eating Disorders;2022-10-26

4. Endoscopic management of giant gastric dilatation in an anorexia nervosa patient after binge eating;Zeitschrift für Gastroenterologie;2021-11-24

5. Not just an upset stomach: gastric perforation in a patient with anorexia nervosa;Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity;2021-11-03

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