Abdominal compartment syndrome caused by a bulimic attack in a bulimia nervosa patient.
10.4174/jkss.2011.81.Suppl1.S1
- Author:
Byung Seup KIM
;
Jae Woo KWON
;
Min Jung KIM
;
So Eun AHN
;
Hyoung Chul PARK
;
Bong Hwa LEE
- Publication Type:Case Report
- Keywords:
Compartment syndromes;
Bulimia;
Reperfusion injury
- MeSH:
Abdominal Pain;
Bulimia;
Bulimia Nervosa;
Compartment Syndromes;
Decompression;
Emergencies;
Female;
Gastric Lavage;
Hemorrhage;
Humans;
Intra-Abdominal Hypertension;
Laparotomy;
Peritoneal Cavity;
Reperfusion Injury;
Shock;
Stomach;
Young Adult
- From:Journal of the Korean Surgical Society
2011;81(Suppl 1):S1-S5
- CountryRepublic of Korea
- Language:English
-
Abstract:
We present a rare case of abdominal compartment syndrome due to a bulimic attack in a 19-year-old female patient with bulimia nervosa. She was admitted to our emergency room with complaints of progressive abdominal pain following bulimia. Computed tomography showed dilated stomach with food and air pressed other visceral organs and major abdominal vessels. Decompression using nasogastric tube or gastric lavage tube failed. At laparotomy, we performed gastrotomy and decompression was performed. After decompression, she fell into hypovolemic shock due to bleeding in the intra-gastric and peritoneal cavity. Twelve hours after the operation, the patient died due to refractory hypovolemic shock from uncontrolled bleeding following decompression of abdominal compartment. It should keep in mind that binge-eating habits in patients with bulimic nervosa could cause abdominal compartment syndrome due to gastric distension and this may be a potentially fatal condition.
