Massive gastric dilatation caused by eating binges demanding surgical intervention: a case report
The clinical picture of an acute abdomen is frequently encountered in emergency medicine. In most cases abdominal pathologies underlie this condition, however, also extra-abdominal diseases may present or cause an acute abdomen. The fact that this condition is potentially life-threatening highlights...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | deu |
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German Medical Science GMS Publishing House
2014-11-01
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| Series: | GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW |
| Subjects: | |
| Online Access: | http://www.egms.de/static/en/journals/iprs/2014-3/iprs000050.shtml |
| _version_ | 1819225444700913664 |
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| author | Lemke, Johannes Scheele, Jan Schmidt, Stefan Wittau, Mathias Henne-Bruns, Doris |
| author_facet | Lemke, Johannes Scheele, Jan Schmidt, Stefan Wittau, Mathias Henne-Bruns, Doris |
| author_sort | Lemke, Johannes |
| collection | DOAJ |
| description | The clinical picture of an acute abdomen is frequently encountered in emergency medicine. In most cases abdominal pathologies underlie this condition, however, also extra-abdominal diseases may present or cause an acute abdomen. The fact that this condition is potentially life-threatening highlights the importance of instant action. Here, we report on the case of a young woman that presented with an acute abdomen in our clinic. Imaging revealed a massively distended stomach reaching the lesser pelvis. Initially, the etiology for the gastric dilatation remained unsolved. On the same day we performed an explorative laparotomy in which massive amounts of clotted, undigested food was recovered via a gastrotomy. Postoperatively, upon psychiatric consultation, an eating disorder with daily eating binges could be revealed as being the cause for the acute and dramatic gastric dilatation. The patient fully recovered from surgery and psychiatric co-treatment was initiated. This unique case report demonstrates how a psychiatric condition may lead to an acute abdomen, however, it also emphasizes the importance of prompt diagnosis and adequate therapy to avoid complications and allowing for full recovery. |
| first_indexed | 2024-12-23T10:09:42Z |
| format | Article |
| id | doaj.art-cb5c3286dda74bdaaf9bf341c4b51cd1 |
| institution | Directory Open Access Journal |
| issn | 2193-8091 |
| language | deu |
| last_indexed | 2024-12-23T10:09:42Z |
| publishDate | 2014-11-01 |
| publisher | German Medical Science GMS Publishing House |
| record_format | Article |
| series | GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW |
| spelling | doaj.art-cb5c3286dda74bdaaf9bf341c4b51cd12022-12-21T17:51:00ZdeuGerman Medical Science GMS Publishing HouseGMS Interdisciplinary Plastic and Reconstructive Surgery DGPW2193-80912014-11-013Doc0910.3205/iprs000050Massive gastric dilatation caused by eating binges demanding surgical intervention: a case reportLemke, Johannes0Scheele, Jan1Schmidt, Stefan2Wittau, Mathias3Henne-Bruns, Doris4Clinic of General and Visceral Surgery, University of Ulm, GermanyClinic of General and Visceral Surgery, University of Ulm, GermanyDepartment of Diagnostic and Interventional Radiology, University of Ulm, GermanyClinic of General and Visceral Surgery, University of Ulm, GermanyClinic of General and Visceral Surgery, University of Ulm, GermanyThe clinical picture of an acute abdomen is frequently encountered in emergency medicine. In most cases abdominal pathologies underlie this condition, however, also extra-abdominal diseases may present or cause an acute abdomen. The fact that this condition is potentially life-threatening highlights the importance of instant action. Here, we report on the case of a young woman that presented with an acute abdomen in our clinic. Imaging revealed a massively distended stomach reaching the lesser pelvis. Initially, the etiology for the gastric dilatation remained unsolved. On the same day we performed an explorative laparotomy in which massive amounts of clotted, undigested food was recovered via a gastrotomy. Postoperatively, upon psychiatric consultation, an eating disorder with daily eating binges could be revealed as being the cause for the acute and dramatic gastric dilatation. The patient fully recovered from surgery and psychiatric co-treatment was initiated. This unique case report demonstrates how a psychiatric condition may lead to an acute abdomen, however, it also emphasizes the importance of prompt diagnosis and adequate therapy to avoid complications and allowing for full recovery.http://www.egms.de/static/en/journals/iprs/2014-3/iprs000050.shtmlsurgeryacute abdomeneating disordereating bingegastric dilatation |
| spellingShingle | Lemke, Johannes Scheele, Jan Schmidt, Stefan Wittau, Mathias Henne-Bruns, Doris Massive gastric dilatation caused by eating binges demanding surgical intervention: a case report GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW surgery acute abdomen eating disorder eating binge gastric dilatation |
| title | Massive gastric dilatation caused by eating binges demanding surgical intervention: a case report |
| title_full | Massive gastric dilatation caused by eating binges demanding surgical intervention: a case report |
| title_fullStr | Massive gastric dilatation caused by eating binges demanding surgical intervention: a case report |
| title_full_unstemmed | Massive gastric dilatation caused by eating binges demanding surgical intervention: a case report |
| title_short | Massive gastric dilatation caused by eating binges demanding surgical intervention: a case report |
| title_sort | massive gastric dilatation caused by eating binges demanding surgical intervention a case report |
| topic | surgery acute abdomen eating disorder eating binge gastric dilatation |
| url | http://www.egms.de/static/en/journals/iprs/2014-3/iprs000050.shtml |
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