Gastric perforation caused by a bulimic attack in an anorexia nervosa patient: report of a case.

Abstract:

:We report a rare case of gastric perforation due to a bulimic attack in a 17-year-old girl suffering from anorexia nervosa. She was admitted to our hospital with the chief complaint of abdominal pain following bulimia. Initially, her symptoms were reduced after drainage using a nasogastric tube. Eight hours later, however, she fell into a state of preshock. Abdominal radiography revealed subphrenic free air. We diagnosed the patient as having diffuse peritonitis. At laparotomy, the stomach was dilated and necrotic with perforation. Almost the entire stomach was resected. Postoperatively, the patient recovered uneventfully. We should therefore be aware of this condition when treating patients with anorexia nervosa who complain of abdominal pain.

journal_name

Surg Today

journal_title

Surgery today

authors

Nakao A,Isozaki H,Iwagaki H,Kanagawa T,Takakura N,Tanaka N

doi

10.1007/s005950050618

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

435-7

issue

5

eissn

0941-1291

issn

1436-2813

pii

10.1007/s005950050618

journal_volume

30

pub_type

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