The fatal outcome of an individual with anorexia nervosa and Sheehan's syndrome as a result of acute enterocolitis: A case report
Article first published online: 26 FEB 2009
Copyright © 2009 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 43, Issue 1, pages 93–96, January 2010
How to Cite
Köpp, W., Rost, F., Kiesewetter, S. and Deter, H.-C. (2010), The fatal outcome of an individual with anorexia nervosa and Sheehan's syndrome as a result of acute enterocolitis: A case report. Int. J. Eat. Disord., 43: 93–96. doi: 10.1002/eat.20652
- Issue published online: 7 DEC 2009
- Article first published online: 26 FEB 2009
- Manuscript Accepted: 29 NOV 2008
- anorexia nervosa;
- Sheehan's syndrome
To illustrate the close association between a disturbed psychosocial up-bringing, frequent physical illness, and medical interventions.
We report a case of a 44-year-old woman with anorexia nervosa (AN) and Sheehan's syndrome who died as a result of a toxic cardiac arrest.
The patient presented with a BMI of 13.6 kg/m2. She refused any intensive-care treatment and died from toxic cardiac arrest. Postmortem examination revealed an acute gastroenterocolitis.
The history of this patient illustrates how psychological deprivation led to eating disturbances, early pregnancy, and the life-threatening delivery of twins. This resulted in a diagnosis of Sheehan's syndrome, hepatitis C, and a ventricular ulcer. A psychosocial event triggered a late exacerbation of her AN. A helpful alliance between patient and staff did not occur as she rejected it. © 2009 by Wiley Periodicals, Inc. Int J Eat Disord 2010.