Acute gastric dilatation in the context of bulimia nervosa

Panach-Navarrete, Jorge; Moro‐Valdezate, David; Garcés-Albir, Marina; Barreda-Estuardo, Luis; Bosca-Watts, Marta Maia; Serrano, José Antonio Martínez

doi:10.17235/reed.2015.3673/2015

Cited by 5 publications

(2 citation statements)

References 8 publications

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“…These range from relatively common complaints affecting up to 90% of patients including postprandial fullness, abdominal distension, early satiety and nausea to rare surgical emergencies [2]. Significant binge eating episodes in this patient group have previously been reported to be associated with surgical emergencies such as acute gastric dilation which can lead to complications such as gastric necrosis and perforation [1], [3], [4], [5]. There are only five previously reported cases of binge eating episodes resulting in small bowel and colonic ischaemia, the majority resulting in mortality [6], [7], [8], [9], [10].…”

Section: Introductionmentioning

confidence: 86%

Case Report of the surgical management of small bowel and colonic ischaemia associated with Anorexia Nervosa binge/purge subtype

Foran

Clancy

Gorey

2016

International Journal of Surgery Case Reports

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HighlightsAnorexia nervosa is common, it has two subtypes; restrictive and binge/purge.Ischaemic bowel associated with anorexia nervosa is rare but potentially life-threatening.The mechanism of ischaemic bowel in anorexia nervosa has not been fully elucidated.This condition should be highlighted as it has a high associated mortality.Prompt involvement of radiology and surgery appears pivotal to outcome.

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Section: Introductionmentioning

confidence: 86%

Case Report of the surgical management of small bowel and colonic ischaemia associated with Anorexia Nervosa binge/purge subtype

Foran

Clancy

Gorey

2016

International Journal of Surgery Case Reports

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“…Therefore, further investigation regarding the clinical history, forensic examination and autopsy, and histologic exams allowed the forensic pathologist to exclude any violent nature of the death and to classify it correctly. The risk of gastric perforation in the case of overeating is accepted and possible (6)(7)(8), but diaphragmatic perforation caused by the stomach remains an unknown complication in patients with eating disorders.…”

Section: Discussionmentioning

confidence: 99%

An Exceptional Case of Acute Respiratory Failure Caused by Intra‐Thoracic Gastric Perforation Secondary to Overeating

Luca¹,

Ricci²,

Grassi³

et al. 2018

Journal of Forensic Sciences

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An 18-year-old female patient arrived at the emergency department complaining of abdominal pain and fullness after a heavy meal. Physical examination revealed she was filthy and cover in feces, and she experienced severe abdominal distension. She died in ED and a diagnostic autopsy examination was requested. At external examination, the pathologist observed a significant dilation of the anal sphincter and suspected sexual assault, thus alerting the Judicial Authority who assigned the case to our department for a forensic autopsy. During the autopsy, we observed anal orifice expansion without signs of violence; food was found in the pleural cavity. The stomach was hyper-distended and perforated at three different points as well as the diaphragm. The patient was suffering from anorexia nervosa with episodes of overeating followed by manual voiding of her feces from the anal cavity (thus explaining the anal dilatation). The forensic pathologists closed the case as an accidental death.

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