Advanced anorexia nervosa, associated with pneumomediastinum, pneumothorax, and soft-tissue emphysema without Esophageal lesion
Version of Record online: 6 OCT 2005
Copyright © 2005 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 38, Issue 3, pages 281–284, November 2005
How to Cite
Danzer, G., Mulzer, J., Weber, G., Lembke, A., Kocalevent, R. and Klapp, B. F. (2005), Advanced anorexia nervosa, associated with pneumomediastinum, pneumothorax, and soft-tissue emphysema without Esophageal lesion. Int. J. Eat. Disord., 38: 281–284. doi: 10.1002/eat.20172
- Issue online: 26 OCT 2005
- Version of Record online: 6 OCT 2005
- Manuscript Accepted: 2 SEP 2004
- anorexia nervosa;
- soft-tissue emphysema;
- autodestructive behavior
We describe the case of a 20-year-old female patient suffering from anorexia nervosa since the age 15 of years. When admitted, she was 168 cm tall with a weight of 35 kg (body mass index [BMI] = 12.4). A week after admission, the patient complained of retrosternal pain, and a few hours later she developed extensive soft-tissue emphysema.
The X-ray picture of her thorax showed left-hand supraclavicular and infraclavicular emphysema, extensive emphysema in both sides of the soft tissue of the throat, a left-hand apical pneumothorax (4 mm), and a pneumomediastinum.
We discuss the extent to which these symptoms are interrelated in the sense of a causal nexus.
We ruled out any other differential-diagnostic etiopathogenic factors and concluded that the cause of our patient's soft-tissue emphysema, pneumothorax, and pneumomediastinum might well be autodestructive behavior. © 2005 by Wiley Periodicals, Inc.