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

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 a...

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Autores principales: Pitre, Tyler, Mah, Jasmine, Vertes, Jaclyn, Tugwell, Barna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7869247/
https://www.ncbi.nlm.nih.gov/pubmed/33557865
http://dx.doi.org/10.1186/s13256-020-02575-7
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author Pitre, Tyler
Mah, Jasmine
Vertes, Jaclyn
Tugwell, Barna
author_facet Pitre, Tyler
Mah, Jasmine
Vertes, Jaclyn
Tugwell, Barna
author_sort Pitre, Tyler
collection PubMed
description 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.
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spelling pubmed-78692472021-02-08 Acute gastric dilatation in a patient with severe anorexia nervosa: a case report Pitre, Tyler Mah, Jasmine Vertes, Jaclyn Tugwell, Barna J Med Case Rep Case Report 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. BioMed Central 2021-02-08 /pmc/articles/PMC7869247/ /pubmed/33557865 http://dx.doi.org/10.1186/s13256-020-02575-7 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Pitre, Tyler
Mah, Jasmine
Vertes, Jaclyn
Tugwell, Barna
Acute gastric dilatation in a patient with severe anorexia nervosa: a case report
title Acute gastric dilatation in a patient with severe anorexia nervosa: a case report
title_full Acute gastric dilatation in a patient with severe anorexia nervosa: a case report
title_fullStr Acute gastric dilatation in a patient with severe anorexia nervosa: a case report
title_full_unstemmed Acute gastric dilatation in a patient with severe anorexia nervosa: a case report
title_short Acute gastric dilatation in a patient with severe anorexia nervosa: a case report
title_sort acute gastric dilatation in a patient with severe anorexia nervosa: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7869247/
https://www.ncbi.nlm.nih.gov/pubmed/33557865
http://dx.doi.org/10.1186/s13256-020-02575-7
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