A Refeeding Syndrome in the Treatment of Anorexia Nervosa Complicated by Spontaneous Gastric Rupture / 대한소아소화기영양학회지
Korean Journal of Pediatric Gastroenterology and Nutrition
;
: 51-56, 2009.
Article
in Korean
| WPRIM
| ID: wpr-25031
ABSTRACT
We report a rare case of gastric perforation in a 13-year-old boy with anorexia nervosa. He was admitted to our hospital with the chief complaint of body weight loss. He had lower abdominal pain after 2 days. An abdominal CT revealed diffuse peritonitis. At laparotomy, the stomach was dilated and perforated. Postoperatively, the patient suffered from malnutrition. We monitored electrolytes, minerals, and fluids closely before and during the initiation of feedings to prevent morbidity and mortality associated with refeeding syndrome. We present an extremely rare complication that relates to this phenomenon, describing an acute gastric dilatation that led to gastric necrosis and perforation through an unusual mechanism in an extremely anorectic teenager during hospitalization for refeeding.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Peritonitis
/
Stomach
/
Gastric Dilatation
/
Stomach Rupture
/
Body Weight
/
Anorexia
/
Anorexia Nervosa
/
Abdominal Pain
/
Malnutrition
/
Electrolytes
Limits:
Adolescent
/
Humans
Language:
Korean
Journal:
Korean Journal of Pediatric Gastroenterology and Nutrition
Year:
2009
Type:
Article
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