Nederlands tijdschrift voor geneeskunde · 2024
[Gastric rupture as a complication of anorexia nervosa].
Клинический случайСтатьяАннотация на английскомНазвание и аннотация: Перевод в очереди
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van Megen Kayleigh M, van den Hoek Kim, Gevers Deynoot Barend, Daams Freek, Nauta Klaas
Аннотация
BACKGROUND: Anorexia nervosa may cause several gastro-intestinal complications.
CASE DESCRIPTION: A 21-year-old woman presented herself with abdominal pain and vomiting a day after her first binge-eating episode. In her recent history she had lost 40 kg in weight and her BMI was 15 at presentation. Imaging showed gastric distension and ascites in all quadrants, suspicious of a gastric rupture. A blow-out of the stomach was seen during a diagnostic laparotomy, which was treated with a gastric sleeve procedure. Following surgery, the patient was diagnosed with anorexia nervosa of the restrictive type with a first episode of binge-eating.
CONCLUSION: Gastric rupture is a rare and unknown complication of anorexia nervosa with a high mortality.
CASE DESCRIPTION: A 21-year-old woman presented herself with abdominal pain and vomiting a day after her first binge-eating episode. In her recent history she had lost 40 kg in weight and her BMI was 15 at presentation. Imaging showed gastric distension and ascites in all quadrants, suspicious of a gastric rupture. A blow-out of the stomach was seen during a diagnostic laparotomy, which was treated with a gastric sleeve procedure. Following surgery, the patient was diagnosed with anorexia nervosa of the restrictive type with a first episode of binge-eating.
CONCLUSION: Gastric rupture is a rare and unknown complication of anorexia nervosa with a high mortality.