1. Not just an upset stomach: gastric perforation in a patient with anorexia nervosa
- Author
-
Amy B. Middleman, Alejandro R. Ruiz-Elizalde, Ahmad Hassan, Alessandra Landmann, and Shauna Lawlis
- Subjects
Pediatrics ,medicine.medical_specialty ,Anorexia Nervosa ,Abdominal compartment syndrome ,business.industry ,Gastrointestinal Diseases ,Stomach ,digestive, oral, and skin physiology ,Perforation (oil well) ,Context (language use) ,medicine.disease ,Abdominal Pain ,Psychiatry and Mental health ,Clinical Psychology ,Distress ,medicine.anatomical_structure ,Anorexia nervosa (differential diagnoses) ,mental disorders ,Case fatality rate ,Multiple time ,medicine ,Humans ,business ,Binge-Eating Disorder - Abstract
Gastric perforation in patients with anorexia nervosa is a rare entity associated with high morbidity and mortality [Norris in Int J Eat Disord 49:216-237, 2016]. In cases reported in the literature, the perforation was often preceded by a binge episode, and the subsequent clinical presentation was rapid and acutely deteriorating with a fatality rate as high as 80% [Norris in Int J Eat Disord 49:216-237, 2016, Pitre in J Med Case Rep 15:61, 2021]. We present a case of gastric perforation in the context of restrictive anorexia nervosa unique both for the absence of a premorbid binge episode as well as delayed clinical manifestations of medical distress, leading to abdominal compartment syndrome.Level IV Evidence obtained from multiple time series analysis such as case studies.
- Published
- 2021