A case of anorexia Nervosa complicated by Pneumomediastinum and Retropneumoperitoneum / 대한내과학회지
Korean Journal of Medicine
;
: 338-342, 2009.
Article
in Korean
| WPRIM
| ID: wpr-110947
ABSTRACT
Since anorexia nervosa is a multi-systemic disorder, as well as a psychiatric disorder, it needs a multidisciplinary approach. It causes many medical problems, including irregular menstruation, hematologic problems, decreased bone density, electrolyte imbalance, and dysrhythmias. Sometimes, this disorder also causes rare, unexpected complications, including abnormal air collections, such as pneumomediastinum, retropneumoperitoneum, or subcutaneous emphysema. The cause of these phenomena is unknown, although fragile parenchymal tissue that is disrupted easily when the local pressure is increased by coughing, vomiting, or defecation is a suggested cause. We experienced a case of anorexia nervosa complicated with abnormal air collections. After we excluded other possible causes, such as perforation of the gastrointestinal tract, and ordered the patient to undergo a short fast and inhale oxygen, the abnormal air collections resolved. We report this case because of its rarity and benign course.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Oxygen
/
Retropneumoperitoneum
/
Subcutaneous Emphysema
/
Vomiting
/
Anorexia
/
Anorexia Nervosa
/
Bone Density
/
Cough
/
Defecation
/
Gastrointestinal Tract
Limits:
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2009
Type:
Article
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