Korean J Leg Med.
2011 Nov;35(2):165-168.
Gastric Necrosis after Gastric Dilatation in a Patient with Bulimia
- Affiliations
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- 1Division of Forensic Medicine, National Forensic Service, Seoul, Korea. nechung@korea.kr
Abstract
- Acute gastric dilatation leading to gastric necrosis is rare but potentially fatal condition that can occur in patients with bulimia. It usually develops after a bulimic episode and it is not diagnosed with sufficient rapidity it may lead to gastric perforation followed by peritonitis, sepsis, shock, and death. Because of the rarity of this condition and the patients in whom it occurs, the clinician must maintain a high degree of suspicion when treating patients with eating disorders who present with abdominal pain after a binge. This case report describes a 24-year old woman with acute gastric dilatation due to binge eating, who had the gastrotomy and died of complications such as gastric necrosis and disseminated intravascular coagulation.
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