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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...

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Autores principales: Swed, Sarya, Ezzdean, Weaam, Sawaf, Bisher
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
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.
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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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