폭식증 환자의 위팽창에 병발된 위점막 괴사의 부검 예
Gastric Necrosis after Gastric Dilatation in a Patient with Bulimia
3
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
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.
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.
참고문헌 (9)
- Lunca S, "Acute massive gastric dilatation : severe ischemia and gastric necrosis without perforation", Rom J Gastroent, 14, pp.279~283 (2005)
- Edlich RF, "Gastric blood flow. Its distribution during gastric distention", Am J Surg, 120, pp.35~37 (1970)
- Barada KA, "Massive gastric diatation after a single binge in an anorectic woman", Int J Eat Disord, 39, pp.166~169 (2006)
- Adson DE, "The superior mesenteric artery syndrome and acute gastric dilatation in eating disorders: a report of two cases and a review of the literature", Int J Eat Disord, 21, pp.103~114 (1997)
- "Behavioural syndromes associated with physiological disturbances and physical factors. International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) Version for 2010"[URL]
- "DSM-5 overview: The future manual. Diagnostic and statistical manual of mental disorders"[URL]
- Patocskai EJ, "Gastric necrosis is a patient with bulimia", Eur J Surg, 168, pp.302~304 (2002)
- Gyurkovisc E, "Fatal outcome from extreme acute gastric dilatation after an eating binge", Int J Eat Disord, 39, pp.602~605 (2006)
- Abdu RA, "Acute gastric necrosis in anorexia nervosa and bulimia", Arch Surg, 122, pp.830~832 (1987)