Gastroesophageal Varices and Hyperplastic Nodules of the Liver in a Patient with Anorexia Nervosa

We report a case of anorexia nervosa (AN) with gastroesophageal varices (GEV) in a 36-year-old woman. The patient presented to our hospital with progressive bloating due to severe ascites. She had no history of alcohol intake. Esophagogastroduodenoscopy and enhanced computed tomography revealed GEV...

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Detalles Bibliográficos
Autores principales: Takata, Kazuhide, Nagata, Takahiro, Uchida, Yotaro, Kitaguchi, Takanori, Higashi, Tomotaka, Fukuda, Hiromi, Yamauchi, Ryo, Tsuchiya, Naoaki, Tanaka, Takashi, Yokoyama, Keiji, Morihara, Daisuke, Takeyama, Yasuaki, Shakado, Satoshi, Hamada, Yoshihiro, Yoshimitsu, Kengo, Sakisaka, Shotaro, Hirai, Fumihito
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8545646/
https://www.ncbi.nlm.nih.gov/pubmed/33867388
http://dx.doi.org/10.2169/internalmedicine.6855-20
Descripción
Sumario:We report a case of anorexia nervosa (AN) with gastroesophageal varices (GEV) in a 36-year-old woman. The patient presented to our hospital with progressive bloating due to severe ascites. She had no history of alcohol intake. Esophagogastroduodenoscopy and enhanced computed tomography revealed GEV and multiple hepatic nodules, respectively. The histological examination of a liver biopsy specimen revealed similar features to nonalcoholic fatty liver disease and showed hyperplastic nodules that were suspected to be related to the uneven distribution of portal blood flow in the liver. In conclusion, patients with long-term AN should undergo abdominal imaging to detect signs of portal hypertension.

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