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Author Taeyun Kim, Heung Up Kim and Hyun Joo Song
Place of duty Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea
Title A Case of Gastric Emphysema in Anorexia Nervosa Presenting as Acute Gastric Distension
Publicationinfo The Korean Journal of Gastroenterology 2012 Nov; 060(05): 315-319.
Key_word Emphysema; Emphysematous gastritis; Anorexia nervosa; Superior mesenteric artery syndrome; Gastric dilatation
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Abstract Gas within the gastric wall is an alarming finding and a rare condition. Clinically, this condition is divided into two entities; Gastric emphysema and emphysematous gastritis. These two diseases should be differentiated because they are characterized by different clinical symptoms, possible etiology, treatment and prognosis. While emphysematous gastritis is a severe condition with high mortality, gastric emphysema is asymptomatic and usually has benign course. Rarely, anorexia nervosa and bulimia nervosa have been discribed to be associated with acute gastric distension and duodenal obstruction induced by superior mesentery artery syndrome. So, gastric emphysema could be accompanied by acute gastric distension induced by anorexia nervosa. We report a rare case of gastric emphysema in a patient with anorexia nervosa presenting as superior mesenteric artery syndrome with relevant literatures. In this case, the gastric emphysema was improved without surgical intervention after nasogastric tube for decompression and feeding insertion in the fourth portion of the duodenum. (Korean J Gastroenterol 2012;60:315-319)
저 자 김태윤, 김흥업, 송현주
소 속 제주대학교 의학전문대학원 내과학교실
제 목 급성 위확장증으로 발현된 신경성 식욕부진증 환자에서 발생한 위 기종 1예
출판정보 Korean J Gastroenterol 2012 Nov; 060(05): 315-319.
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