Journal of Emergencies, Trauma, and Shock

CASE REPORT
Year
: 2010  |  Volume : 3  |  Issue : 4  |  Page : 403--405

Acute gastric dilatation in a patient with anorexia nervosa binge/purge subtype


Ailis M Tweed-Kent, Peter J Fagenholz, Hasan B Alam 
 Division of Trauma, Emergency Surgery, and Critical Care, Department of Surgery, Massachusetts General Hospital, 55 Fruit St., Boston, MA, USA

Correspondence Address:
Hasan B Alam
Division of Trauma, Emergency Surgery, and Critical Care, Department of Surgery, Massachusetts General Hospital, 55 Fruit St., Boston, MA
USA

Acute gastric dilatation is a rare complication of anorexia nervosa binge/purge subtype that results from gastrointestinal abnormalities, including decreased gastric motility and delayed gastric emptying. Early diagnosis and intervention is critical since delay may result in gastric necrosis, perforation, shock, and death. We report a 26-year-old female with anorexia nervosa binge/purge subtype, who presented with abdominal pain and nausea after a binge episode. Abdominal radiography and computed tomography showed a grossly dilated stomach measuring 32 cm Χ 17.9 cm consistent with acute gastric dilatation. She underwent exploratory laparotomy with gastrotomy and gastric decompression, and recovered uneventfully. Initially, the patient denied the binge episode, as many patients with eating disorders do, but later revealed an extensive history of anorexia nervosa binge/purge subtype. This case stresses the importance of obtaining a thorough history of eating disorders and maintaining a high index of suspicion for acute gastric dilatation in young women who present with abdominal pain and distention.


How to cite this article:
Tweed-Kent AM, Fagenholz PJ, Alam HB. Acute gastric dilatation in a patient with anorexia nervosa binge/purge subtype.J Emerg Trauma Shock 2010;3:403-405


How to cite this URL:
Tweed-Kent AM, Fagenholz PJ, Alam HB. Acute gastric dilatation in a patient with anorexia nervosa binge/purge subtype. J Emerg Trauma Shock [serial online] 2010 [cited 2020 Jul 3 ];3:403-405
Available from: http://www.onlinejets.org/article.asp?issn=0974-2700;year=2010;volume=3;issue=4;spage=403;epage=405;aulast=Tweed-Kent;type=0