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Keywords:

  • bulimia nervosa;
  • abdominal pain;
  • stomach distension;
  • duodenal obstruction

Abstract

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°, 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. © 2006 by Wiley Periodicals, Inc., Int J Eat Disord, 2006