Lee Jordan D, Prabhakaran Sowmya, Wilkie Bruce D, Peng Calvin, Thomson Benjamin N J
Department of General Surgery, Royal Melbourne Hospital, Parkville, Victoria, Australia.
J Surg Case Rep. 2022 Aug 16;2022(8):rjac193. doi: 10.1093/jscr/rjac193. eCollection 2022 Aug.
Acute massive gastric distension is a rare but potentially life-threatening surgical complication of bulimia nervosa. This results from repeated binge eating and is likely compounded by increased gastric compliance and delayed gastric emptying. We describe a case of acute massive gastric distension in a 26-year-old female with undiagnosed bulimia nervosa who underwent a laparotomy and anterior gastrotomy after failed conservative measures for gastric decompression. It highlights the importance of early recognition of a potentially life-threatening condition and that a multi-disciplinary approach is necessary to prevent the recurrence and morbidity associated with it.
急性大量胃扩张是神经性贪食症一种罕见但可能危及生命的手术并发症。这是反复暴饮暴食的结果，可能因胃顺应性增加和胃排空延迟而加重。我们描述了一例26岁未确诊神经性贪食症的女性发生急性大量胃扩张的病例，该患者在保守的胃减压措施失败后接受了剖腹手术和胃前壁切开术。它强调了早期识别这种潜在危及生命状况的重要性，以及采取多学科方法预防与之相关的复发和发病的必要性。
