Skip to main content
NCBI home page
Gut logoLink to Gut
. 1981 Nov;22(11):978–983. doi: 10.1136/gut.22.11.978

Acute gastric dilatation with infarction and perforation

Report of fatal outcome in patient with anorexia nervosa

S H Saul, A Dekker, C G Watson
PMCID: PMC1419461  PMID: 7308853

Abstract

This is a report of a 22-year-old woman with treated anorexia nervosa who died of complications of acute gastric dilatation—that is, infarction and perforation with severe and irreversible shock. Binge eating and drinking, precipitated by emotional crises, contributed to her acute gastric dilatation. This complication of anorexia nervosa has been previously reported, but, unlike the others, this case ended fatally. The literature is reviewed.

Full text

PDF
978

Images in this article

979Figure
on p.979

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ALBO R., DE LORIMIER A. A., SILEN W. Spontaneous rupture of the stomach in the adult. Surgery. 1963 Jun;53:797–805. [PubMed] [Google Scholar]
  2. Akin J. T., Jr, Gray S. W., Skandalakis J. E. Vascular compression of the duodenum: Presentation of ten cases and review of the literature. Surgery. 1976 May;79(5):515–522. [PubMed] [Google Scholar]
  3. Babkin B. P., Armour J. C., Webster D. R. Restoration of the Functional Capacity of the Stomach when Deprived of its Main Arterial Blood Supply. Can Med Assoc J. 1943 Jan;48(1):1–10. [PMC free article] [PubMed] [Google Scholar]
  4. Bemis K. M. Current approaches to the etiology and treatment of anorexia nervosa. Psychol Bull. 1978 May;85(3):593–617. [PubMed] [Google Scholar]
  5. Brook G. K. Acute gastric dilatation in anorexia nervosa. Br Med J. 1977 Aug 20;2(6085):499–500. doi: 10.1136/bmj.2.6085.499-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Brook G. Acute gastric dilatation in anorexia nervosa. Br Med J. 1977 Oct 29;2(6095):1153–1153. doi: 10.1136/bmj.2.6095.1153-b. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Casper R. C., Eckert E. D., Halmi K. A., Goldberg S. C., Davis J. M. Bulimia. Its incidence and clinical importance in patients with anorexia nervosa. Arch Gen Psychiatry. 1980 Sep;37(9):1030–1035. doi: 10.1001/archpsyc.1980.01780220068007. [DOI] [PubMed] [Google Scholar]
  8. Evans D. S. Acute dilatation and spontaneous rupture of the stomach. Br J Surg. 1968 Dec;55(12):940–942. doi: 10.1002/bjs.1800551215. [DOI] [PubMed] [Google Scholar]
  9. Froese A. P., Szmuilowicz J., Bailey J. D. The superior-mesenteric-artery syndrome: cause or complication of anorexia nervosa? Can Psychiatr Assoc J. 1978 Aug;23(5):325–327. doi: 10.1177/070674377802300508. [DOI] [PubMed] [Google Scholar]
  10. Halmi K. A. Anorexia nervosa: recent investigations. Annu Rev Med. 1978;29:137–148. doi: 10.1146/annurev.me.29.020178.001033. [DOI] [PubMed] [Google Scholar]
  11. Hsu L. K. Outcome of anorexia nervosa. A review of the literature (1954 to 1978). Arch Gen Psychiatry. 1980 Sep;37(9):1041–1046. doi: 10.1001/archpsyc.1980.01780220079009. [DOI] [PubMed] [Google Scholar]
  12. Jefferiss C. D. Spontaneous rupture of the stomach in an adult. Br J Surg. 1972 Jan;59(1):79–80. doi: 10.1002/bjs.1800590123. [DOI] [PubMed] [Google Scholar]
  13. Jennings K. P., Klidjian A. M. Acute gastric dilatation in anorexia nervosa. Br Med J. 1974 Jun 1;2(5917):477–478. doi: 10.1136/bmj.2.5917.477. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Kerstein M. D., Goldberg B., Panter B., Tilson M. D., Spiro H. Gastric infarction. Gastroenterology. 1974 Dec;67(6):1238–1239. [PubMed] [Google Scholar]
  15. Lee C. S., Mangla J. C. Superior mesenteric artery compression syndrome. Am J Gastroenterol. 1978 Aug;70(2):141–150. [PubMed] [Google Scholar]
  16. MARKOWSKI B. Acute dilatation of the stomach. Br Med J. 1947 Jul 26;2(4516):128–130. doi: 10.1136/bmj.2.4516.128. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Rimer D. G. Gastric retention without mechanical obstruction. A review. Arch Intern Med. 1966 Feb;117(2):287–299. [PubMed] [Google Scholar]
  18. Russell G. F. Acute dilatation of the stomach in a patient with anorexia nervosa. Br J Psychiatry. 1966 Feb;112(483):203–207. doi: 10.1192/bjp.112.483.203. [DOI] [PubMed] [Google Scholar]
  19. Scobie B. A. Acute gastric dilatation and duodenal ileus in anorexia nervosa. Med J Aust. 1973 Nov 17;2(20):932–934. doi: 10.5694/j.1326-5377.1973.tb129824.x. [DOI] [PubMed] [Google Scholar]
  20. Wolloch Y., Dintsman M. Spontaneous rupture of the stomach. Isr J Med Sci. 1973 Nov-Dec;9(11):1574–1577. [PubMed] [Google Scholar]

Articles from Gut are provided here courtesy of BMJ Publishing Group

RESOURCES