Acute Gastric Dilatation, Necrosis and Perforation Complicating Restrictive-Type Anorexia Nervosa
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Hospitalization is occasionally required in anorexia nervosa patients to avoid the life-threatening complications of extreme malnutrition. However, refeeding is not a risk-free process. A constellation of metabolic disturbances can occur as a result of reinstitution of nutrition to patients who are starved or severely malnourished. Patients can develop fluid and electrolyte disorders, especially hypophosphatemia, along with neurologic, pulmonary, cardiac, neuromuscular, and hematologic complications. We present an extremely rare complication that relates to this phenomenon, describing an acute gastric dilatation that led to gastric necrosis and perforation through an unusual mechanism, in an extremely anorectic teenager during hospitalization for refeeding.
KeywordsAnorexia Nervosa Hypophosphatemia Anorectic Patient Gastric Dilatation Cachectic Patient