Repeated gastric dilatations leading to fatal abdominal compartment syndrome in a patient with bulimia nervosa.
- Author:
Seung Baik HAN
1
;
Areum DUREY
;
Seung Jae LEE
;
Young Ho SEO
;
Ji Hye KIM
Author Information
1. Department of Emergency Medicine, Inha University College of Medicine, Incheon, Korea. ziihye@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Bulimia nervosa;
Gastric dilatation;
Superior mesenteric artery syndrome;
Reperfusion injury
- MeSH:
Bulimia Nervosa*;
Bulimia*;
Decompression;
Dilatation*;
Eating;
Emergencies;
Female;
Gastric Dilatation;
Humans;
Intra-Abdominal Hypertension*;
Reperfusion Injury;
Superior Mesenteric Artery Syndrome;
Young Adult
- From:Journal of the Korean Society of Emergency Medicine
2018;29(5):551-556
- CountryRepublic of Korea
- Language:English
-
Abstract:
Cases of repeated acute gastric dilatations after binge eating in one patient are rarely reported. We report here a case of repeated acute gastric dilatations in a 22-year-old woman with bulimia nervosa. Her repeated acute gastric dilatations seem to have been related to superior mesenteric artery syndrome. On her last visit due to acute gastric dilatation, she underwent emergency gastric decompression surgery because of abdominal compartment syndrome; however, she eventually died because of ischemia reperfusion injury. Emergency physicians should be aware of the need to manage acute gastric dilatation in patients with eating disorder and should pay attention to the signs and distinctive clinical features of abdominal compartment syndrome.
