Hicks Georgina, D'Souza Nigel, Thomas Rhys, Brar Ranjeet
Department of General Surgery, Croydon University Hospital, Croydon, UK.
BMJ Case Rep. 2017 Sep 27;2017:bcr-2017-221158. doi: 10.1136/bcr-2017-221158.
Acute gastric necrosis is a very rare but potentially fatal condition which has been reported in patients with abnormal eating behaviours.We describe the case of a 24-year-old female with a background of Asperger's syndrome, who presented with abdominal pain and gross distension. She underwent an emergency exploratory laparotomy and was found to have a massively distended, necrotic stomach. A total gastrectomy was performed with interval reconstruction planned. This case reports the surgical management of a rarely seen condition and highlights the importance of recognising gastric necrosis and its causes, which include patients with abnormal eating behaviours, the majority of whom are young females. This is the first report highlighting gastric necrosis in a patient with Asperger's syndrome and coincides with a growing recognition of the association between eating disorders and the autistic spectrum. It is also a rare example of patient survival following total gastric necrosis with perforation.
急性胃坏死是一种非常罕见但可能致命的疾病，在有异常饮食行为的患者中已有报道。我们描述了一名24岁患有阿斯伯格综合征的女性病例，她出现腹痛和腹部明显膨隆。她接受了急诊剖腹探查术，发现胃极度扩张且坏死。进行了全胃切除术，并计划进行分期重建。本病例报告了一种罕见疾病的外科治疗方法，并强调了认识胃坏死及其病因的重要性，其病因包括有异常饮食行为的患者，其中大多数是年轻女性。这是第一例强调阿斯伯格综合征患者发生胃坏死的报告，同时也反映出人们越来越认识到饮食失调与自闭症谱系之间的关联。这也是全胃坏死并穿孔后患者存活的罕见病例。
