Necrotising enterocolitis in an adult with anorexia nervosa.

Abstract:

:Necrotising enterocolitis (NEC) is a rare cause of the acute abdomen in adults and carries one of the highest mortality rates in gastroenterology. However, its rarity confines research to small case reports. Both its pathogenesis and aetiology remain enigmatic in adult patients, proving timely diagnosis and management a challenge. This paper reports on one case of NEC in an adult patient with underlying anorexia nervosa, following a seven-day period of starvation. She underwent emergency laparotomy for resection of necrotic bowel and subsequently made a good recovery. To date, there have only been eight reports linking NEC with anorexia nervosa. We review our patient in the context of plausible mechanisms hypothesised in these cases. Successful management depends on prompt diagnosis, resuscitation and surgical intervention.

journal_name

Ann R Coll Surg Engl

authors

Schapira B,Nazarian S,Thanapal M,Parmar C,Mukhtar H

doi

10.1308/rcsann.2020.0075

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

560-565

issue

8

eissn

0035-8843

issn

1478-7083

journal_volume

102

pub_type

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