Journal of The Korean Society of Emergency Medicine (대한응급의학회지)

The Korean Society of Emergency Medicine (대한응급의학회)
권호 표지

Repeated gastric dilatations leading to fatal abdominal compartment syndrome in a patient with bulimia nervosa

  • Han, Seung Baik (Department of Emergency Medicine, Inha University College of Medicine) ;
  • Durey, Areum (Department of Emergency Medicine, Inha University College of Medicine) ;
  • Lee, Seung Jae (Department of Emergency Medicine, Inha University College of Medicine) ;
  • Seo, Young Ho (Department of Emergency Medicine, Inha University College of Medicine) ;
  • Kim, Ji Hye (Department of Emergency Medicine, Inha University College of Medicine)
  • ;
  • ;
  • ;
  • ;
  • 김지혜 (인하대학교 의과대학 응급의학교실)
  • Received : 2018.07.23
  • Accepted : 2018.08.14
  • Published : 2018.10.31

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Abstract

Cases of repeated acute gastric dilatations after binge eating in one patient are rarely reported. We report here a case of repeated acute gastric dilatations in a 22-year-old woman with bulimia nervosa. Her repeated acute gastric dilatations seem to have been related to superior mesenteric artery syndrome. On her last visit due to acute gastric dilatation, she underwent emergency gastric decompression surgery because of abdominal compartment syndrome; however, she eventually died because of ischemia reperfusion injury. Emergency physicians should be aware of the need to manage acute gastric dilatation in patients with eating disorder and should pay attention to the signs and distinctive clinical features of abdominal compartment syndrome.

Keywords

References

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