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KMID : 0385920180290050551
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Journal of the Korean Society of Emergency Medicine
2018 Volume.29 No. 5 p.551 ~ p.556
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Repeated gastric dilatations leading to fatal abdominal compartment syndrome in a patient with bulimia nervosa
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Han Seung-Baik
Durey Areum
Lee Seung-Jae
Seo Young-Ho
Kim Ji-Hye
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Abstract
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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.
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KEYWORD
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Bulimia nervosa, Gastric dilatation, Superior mesenteric artery syndrome, Reperfusion injury
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