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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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
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author 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
author_facet 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
author_sort Takata, Kazuhide
collection PubMed
description 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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spelling pubmed-85456462021-10-29 Gastroesophageal Varices and Hyperplastic Nodules of the Liver in a Patient with Anorexia Nervosa 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 Intern Med Case Report 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. The Japanese Society of Internal Medicine 2021-04-19 2021-10-01 /pmc/articles/PMC8545646/ /pubmed/33867388 http://dx.doi.org/10.2169/internalmedicine.6855-20 Text en Copyright © 2021 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
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
Gastroesophageal Varices and Hyperplastic Nodules of the Liver in a Patient with Anorexia Nervosa
title Gastroesophageal Varices and Hyperplastic Nodules of the Liver in a Patient with Anorexia Nervosa
title_full Gastroesophageal Varices and Hyperplastic Nodules of the Liver in a Patient with Anorexia Nervosa
title_fullStr Gastroesophageal Varices and Hyperplastic Nodules of the Liver in a Patient with Anorexia Nervosa
title_full_unstemmed Gastroesophageal Varices and Hyperplastic Nodules of the Liver in a Patient with Anorexia Nervosa
title_short Gastroesophageal Varices and Hyperplastic Nodules of the Liver in a Patient with Anorexia Nervosa
title_sort gastroesophageal varices and hyperplastic nodules of the liver in a patient with anorexia nervosa
topic Case Report
url 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
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