Gasric Rupture as the Result of a Binge-Eating after a Abstinence Prayer.
- Author:
Joon Ho CHO
1
;
Sun Wook KIM
;
Yoo Sang YOON
;
In Cheol PARK
;
Seung Ho KIM
Author Information
1. Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Korea. edksh@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Gastric rupture;
Binge eating;
Gastric dilatation
- MeSH:
Bulimia;
Decompression;
Diagnosis;
Emergency Service, Hospital;
Esophagogastric Junction;
Female;
Gastrectomy;
Gastric Dilatation;
Humans;
Infarction;
Laparotomy;
Meals;
Middle Aged;
Rare Diseases;
Religion*;
Resuscitation;
Rupture*;
Sepsis;
Stomach;
Stomach Rupture
- From:Journal of the Korean Society of Emergency Medicine
2003;14(5):677-679
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Spontaneous gastric rupture is a very rare disease and may be related to the consumption of large meals. We experienced a rare case of gastric rupture due to binge eating. A 57-year-old woman visited the emergency department with an abdominal distention following binge eating after a two day abstinence prayer. A plain abdominal X-ray showed free air in the subphrenic space and a markedly distended stomach. At laparotomy, the stomach was dilatated and ruptured about 7 cm from the esophagogastric junction to the lesser curvature. A total gastrectomy was done, but at 11 days, the patient expired due to sepsis. Causes of acute gastric dilatation are various and include binge eating. Massive gastric dilatation leads to a decrease in intramural blood flow and gastric infarction. Symptoms of gastric dilatation may be mild, but are progressive. Diagnosis can be made by observing free air or a distended stomach on a simple abdominal X-ray. Treatment should begin with nasogastric decompression and fluid resuscitation. If conservative treatment fails or if gastric infarction or perforation is suspected, surgical intervention is mandatory.
