The International journal of eating disorders · 2006
Death due to duodenal obstruction in a patient with an eating disorder: a case report.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Ikegaya Hiroshi, Nakajima Makoto, Shintani-Ishida Kaori, Uemura Koichi, Yoshida Ken-ichi
Аннотация
OBJECTIVE: A 30-year-old woman with a 2-year history of bulimia nervosa and severe abdominal pain after excessive food consumption visited our emergency room. Her abdomen showed marked generalized distension.
METHOD: Aspiration of the gastric contents was not successful, and despite efforts to resuscitate her, the patient died.
RESULT: An autopsy showed a markedly distended stomach containing approximately 6,500 ml of solid foods. The aortomesenteric distance was <1.0 cm and the aortomesenteric angle was <20 degrees, suggesting superior mesenteric artery (SMA) syndrome may have been a cause of death.
CONCLUSION: However, her condition was also consistent with duodenal obstruction due to a heavy stomach and high intra-abdominal pressure, and her cause of death was diagnosed as intestinal obstruction due to an excessive volume of food.
METHOD: Aspiration of the gastric contents was not successful, and despite efforts to resuscitate her, the patient died.
RESULT: An autopsy showed a markedly distended stomach containing approximately 6,500 ml of solid foods. The aortomesenteric distance was <1.0 cm and the aortomesenteric angle was <20 degrees, suggesting superior mesenteric artery (SMA) syndrome may have been a cause of death.
CONCLUSION: However, her condition was also consistent with duodenal obstruction due to a heavy stomach and high intra-abdominal pressure, and her cause of death was diagnosed as intestinal obstruction due to an excessive volume of food.