Bowel ischemia and necrosis in anorexia nervosa: A case report and review of the literature

INTRODUCTION: Bowel ischemia and necrosis is an uncommon complication of anorexia nervosa (AN), which may pose significant diagnostic and therapeutic challenges. The review of the existing literature shows that the mortality rate of this condition reaches 80%. CASE: We present a case of a 30 year ol...

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Detalles Bibliográficos
Autores principales: Neychev, Vladimir, Borruso, John
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4353967/
https://www.ncbi.nlm.nih.gov/pubmed/25681813
http://dx.doi.org/10.1016/j.ijscr.2015.01.035
Descripción
Sumario:INTRODUCTION: Bowel ischemia and necrosis is an uncommon complication of anorexia nervosa (AN), which may pose significant diagnostic and therapeutic challenges. The review of the existing literature shows that the mortality rate of this condition reaches 80%. CASE: We present a case of a 30 year old woman with long-standing AN complicated by ischemia and necrosis of the entire small bowel and the right hemicolon. CONCLUSION: A high index of suspicion of bowel ischemia is necessary when patients with AN present with abdominal symptoms. Timely diagnosis and treatment may prevent bowel necrosis and death.

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