El Ghoch Marwan, Benini Luigi, Sgarbi Daniela, Dalle Grave Riccardo
Department of Eating and Weight Disorders, Villa Garda Hospital, Via Montebaldo, 89, 37016 Garda, Verona, Italy.
Unit of Gastroenterology, Casa di Cura Pederzoli, via Montebaldo, 24, 37019 Peschiera del Garda, Verona, Italy.
Int J Eat Disord. 2016 Jul;49(7):731-5. doi: 10.1002/eat.22548. Epub 2016 May 20.
This case report describes the clinical presentation, diagnosis, and management of a 26-year-old patient with anorexia nervosa (AN) diagnosed with Solitary Rectal Ulcer Syndrome (SRUS). To our knowledge, this is the first case report to document SRUS in AN, whose pathogenesis in this case seems to have been determined by the patient's malnourished and underweight state. Furthermore, SRUS symptoms appear to have interacted with the eating disorder psychopathology, increasing the need to exert control over eating. Cognitive behavioral strategies and procedures were accordingly used to address the eating disorder psychopathology and to promote complete weight restoration, which brought about a significant reduction in the size of the ulcer and the complete resolution of SRUS symptoms. © 2016 Wiley Periodicals, Inc.(Int J Eat Disord 2016; 49:731-735).
本病例报告描述了一名26岁神经性厌食症(AN)患者并发孤立性直肠溃疡综合征(SRUS)的临床表现、诊断及治疗情况。据我们所知,这是首例记录神经性厌食症并发孤立性直肠溃疡综合征的病例报告,该病例中其发病机制似乎由患者的营养不良和体重过轻状态所决定。此外,孤立性直肠溃疡综合征的症状似乎与饮食失调的精神病理学相互作用,增加了对饮食进行控制的需求。因此,采用了认知行为策略和方法来处理饮食失调的精神病理学问题,并促进体重完全恢复,这使得溃疡面积显著减小,孤立性直肠溃疡综合征的症状完全消失。© 2016威利期刊公司(《国际进食障碍杂志》2016年;49:731 - 735)