Elsharif M, Doulias T, Aljundi W, Balchandra S
Doncaster and Bassetlaw Hospitals NHS Foundation Trust, UK.
Ann R Coll Surg Engl. 2014 Nov;96(8):e15-7. doi: 10.1308/003588414X13946184902848.
Acute gastric dilation is a rare but recognised complication in patients with bulimia and anorexia following binge episodes owing to decreased bowel motility. We present a rare case of acute gastric dilation secondary to bulimia in an otherwise healthy 18-year-old female patient that resulted in compression and complete occlusion of the abdominal aorta, leading to acute mesenteric and bilateral lower limb ischaemia. This resolved immediately following a laparotomy and gastric decompression. Management of these patients is very challenging owing to the lack of a successful precedent. To our knowledge, such a catastrophic complication has only ever been reported once in the literature and the outcome was fatal. Our case is of additional importance as it offers a successful management strategy for these patients.
急性胃扩张是贪食症和厌食症患者在暴饮暴食后因肠道蠕动减弱而出现的一种罕见但已被认识的并发症。我们报告一例罕见病例，一名18岁身体健康的女性患者因贪食症继发急性胃扩张，导致腹主动脉受压并完全闭塞，进而引发急性肠系膜缺血和双侧下肢缺血。剖腹手术和胃减压后，病情立即得到缓解。由于缺乏成功的先例，对这些患者的治疗极具挑战性。据我们所知，这种灾难性并发症在文献中仅被报道过一次，且结果是致命的。我们的病例具有额外的重要性，因为它为这些患者提供了一种成功的治疗策略。
