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Acute gastric dilatation causing fatal outcome in a young female with eating disorder: a case report

 Seung-Mok Youm  ;  Ji Young Kim  ;  Jeong Rim Lee 
 Korean Journal of Anesthesiology, Vol.68(2) : 188-192, 2015 
Journal Title
 Korean Journal of Anesthesiology 
Issue Date
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.
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1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Ji Young(김지영) ORCID logo https://orcid.org/0000-0001-5822-0338
Lee, Jeong Rim(이정림) ORCID logo https://orcid.org/0000-0002-7425-0462
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