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Chronic gastric dilatation with gastric fundus perforation in anorexia nervosa patient
INTRODUCTION: As a complication of anorexia or bulimia nervosa, gastrointestinal problems such as stomach dilatation and necrosis are extremely rare. Our purpose is this case to pay attention on anorexia and bulimia patients to envisage the occurrence of chronic digestive injuries by performing the...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8741521/ https://www.ncbi.nlm.nih.gov/pubmed/34991050 http://dx.doi.org/10.1016/j.ijscr.2021.106645 |
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author | Swed, Sarya Ezzdean, Weaam Sawaf, Bisher |
author_facet | Swed, Sarya Ezzdean, Weaam Sawaf, Bisher |
author_sort | Swed, Sarya |
collection | PubMed |
description | INTRODUCTION: As a complication of anorexia or bulimia nervosa, gastrointestinal problems such as stomach dilatation and necrosis are extremely rare. Our purpose is this case to pay attention on anorexia and bulimia patients to envisage the occurrence of chronic digestive injuries by performing the accurate diagnosis and selective prompt treatment. CASE PRESENTATION: A 40-year old female patient admitted to the emergency department with complaints of digestive symptoms. In his history there was just anorexia nervosa. Computed tomography and X-rays showed major gastric distension reaching the pelvis and perforation of the fundus. The large curvature of the stomach and the necrotic part was removed surgically. But the patient died in the second day after admission in the hospital because he was affected by a septic shock as a complication of distribution the infection because the doctors didn't resect whole the stomach during the open surgery. DISCUSSION: We report a rare case that shows gastric dilatation and necrosis post-anorexia nervosa, which requires accurate X-ray and CT scan, but treatment depends on whether or not gastric necrosis is present and the size of the necrosis. According to what mentioned in the medical literature this is the second case that cause death of the patient after surgery for treatment the gastric dilatation as a complication of anorexia nervosa. CONCLUSION: The thing that distinguishes this case is the large size of the extension of the stomach from the diaphragm to the pelvis and the perforation of the fundus with a diameter of 5 cm and the death of the patient after surgery, so we can add it in the medical literature to avoid the complications of these psychiatric diseases. |
format | Online Article Text |
id | pubmed-8741521 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-87415212022-01-12 Chronic gastric dilatation with gastric fundus perforation in anorexia nervosa patient Swed, Sarya Ezzdean, Weaam Sawaf, Bisher Int J Surg Case Rep Case Report INTRODUCTION: As a complication of anorexia or bulimia nervosa, gastrointestinal problems such as stomach dilatation and necrosis are extremely rare. Our purpose is this case to pay attention on anorexia and bulimia patients to envisage the occurrence of chronic digestive injuries by performing the accurate diagnosis and selective prompt treatment. CASE PRESENTATION: A 40-year old female patient admitted to the emergency department with complaints of digestive symptoms. In his history there was just anorexia nervosa. Computed tomography and X-rays showed major gastric distension reaching the pelvis and perforation of the fundus. The large curvature of the stomach and the necrotic part was removed surgically. But the patient died in the second day after admission in the hospital because he was affected by a septic shock as a complication of distribution the infection because the doctors didn't resect whole the stomach during the open surgery. DISCUSSION: We report a rare case that shows gastric dilatation and necrosis post-anorexia nervosa, which requires accurate X-ray and CT scan, but treatment depends on whether or not gastric necrosis is present and the size of the necrosis. According to what mentioned in the medical literature this is the second case that cause death of the patient after surgery for treatment the gastric dilatation as a complication of anorexia nervosa. CONCLUSION: The thing that distinguishes this case is the large size of the extension of the stomach from the diaphragm to the pelvis and the perforation of the fundus with a diameter of 5 cm and the death of the patient after surgery, so we can add it in the medical literature to avoid the complications of these psychiatric diseases. Elsevier 2021-12-04 /pmc/articles/PMC8741521/ /pubmed/34991050 http://dx.doi.org/10.1016/j.ijscr.2021.106645 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Swed, Sarya Ezzdean, Weaam Sawaf, Bisher Chronic gastric dilatation with gastric fundus perforation in anorexia nervosa patient |
title | Chronic gastric dilatation with gastric fundus perforation in anorexia nervosa patient |
title_full | Chronic gastric dilatation with gastric fundus perforation in anorexia nervosa patient |
title_fullStr | Chronic gastric dilatation with gastric fundus perforation in anorexia nervosa patient |
title_full_unstemmed | Chronic gastric dilatation with gastric fundus perforation in anorexia nervosa patient |
title_short | Chronic gastric dilatation with gastric fundus perforation in anorexia nervosa patient |
title_sort | chronic gastric dilatation with gastric fundus perforation in anorexia nervosa patient |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8741521/ https://www.ncbi.nlm.nih.gov/pubmed/34991050 http://dx.doi.org/10.1016/j.ijscr.2021.106645 |
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