Acute gastric dilatation causing fatal outcome in a young female with eating disorder: a case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 188-192, 2015.
Article
in English
| WPRIM
| ID: wpr-190101
ABSTRACT
A 21-year-old female with a history of bulimia nervosa came to the emergency room due to severe abdominal pain after excessive eating five hours previously. On arrival at the emergency room, extreme abdominal distension was detected and the patient's legs changed color. Computed tomography suggested severe gastric dilatation, so abdominal compartment syndrome was suspected and an emergent laparotomy was supposed to be conducted. Though anesthesia was induced without event, abrupt hemodynamic collapse developed just after the operation started. In spite of active resuscitation for 29 min, the patient did not recover and expired. As the incidence of eating disorders is increasing, anesthesiologists should keep in mind the possibility of abdominal compartment syndrome in patients with a recent history of binge eating, and prepare optimal anesthetic and resuscitation remedies against sudden deteriorations of a patient's condition.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Resuscitation
/
Gastric Dilatation
/
Bulimia
/
Feeding and Eating Disorders
/
Abdominal Pain
/
Incidence
/
Fatal Outcome
/
Eating
/
Emergency Service, Hospital
/
Bulimia Nervosa
Type of study:
Incidence study
/
Prognostic study
Limits:
Female
/
Humans
Language:
English
Journal:
Korean Journal of Anesthesiology
Year:
2015
Type:
Article
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