Document Detail

Death due to duodenal obstruction in a patient with an eating disorder: a case report.
MedLine Citation:
PMID:  16523469     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: A 30-year-old woman with a 2-year history of bulimia nervosa and severe abdominal pain after excessive food consumption visited our emergency room. Her abdomen showed marked generalized distension. METHOD: Aspiration of the gastric contents was not successful, and despite efforts to resuscitate her, the patient died. RESULT: An autopsy showed a markedly distended stomach containing approximately 6,500 ml of solid foods. The aortomesenteric distance was <1.0 cm and the aortomesenteric angle was <20 degrees, suggesting superior mesenteric artery (SMA) syndrome may have been a cause of death. CONCLUSION: However, her condition was also consistent with duodenal obstruction due to a heavy stomach and high intra-abdominal pressure, and her cause of death was diagnosed as intestinal obstruction due to an excessive volume of food.
Hiroshi Ikegaya; Makoto Nakajima; Kaori Shintani-Ishida; Koichi Uemura; Ken-ichi Yoshida
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The International journal of eating disorders     Volume:  39     ISSN:  0276-3478     ISO Abbreviation:  Int J Eat Disord     Publication Date:  2006 May 
Date Detail:
Created Date:  2006-03-30     Completed Date:  2006-09-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8111226     Medline TA:  Int J Eat Disord     Country:  United States    
Other Details:
Languages:  eng     Pagination:  350-2     Citation Subset:  IM    
Copyright Information:
2006 by Wiley Periodicals, Inc.
Department of Forensic Medicine, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.
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MeSH Terms
Bulimia Nervosa / complications*
Duodenal Obstruction / etiology*,  pathology
Fatal Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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