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J Korean Soc Emerg Med > Volume 29(5); 2018 > Article
Journal of The Korean Society of Emergency Medicine 2018;29(5): 551-556.
Repeated gastric dilatations leading to fatal abdominal compartment syndrome in a patient with bulimia nervosa
Seung Baik Han , Areum Durey , Seung Jae Lee, Young Ho Seo, Ji Hye Kim
Department of Emergency Medicine, Inha University College of Medicine, Incheon, Korea
Correspondence  Ji Hye Kim ,Tel: 032-890-2312, Fax: 032-890-230, Email: ziihye@inha.ac.kr,
Received: July 23, 2018; Revised: August 13, 2018   Accepted: August 14, 2018.  Published online: October 31, 2018.
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.
Key words: Bulimia nervosa; Gastric dilatation; Superior mesenteric artery syndrome; Reperfusion injury
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