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Plötzlicher Tod bei massiver Magendilatation

Sudden death due to massive gastric dilatation

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Zusammenfassung

Die Bulimia nervosa ist eine Essstörung, von der vorwiegend junge Frauen betroffen sind. Todesfälle durch akute massive Magendilatation nach Heißhungerattacken mit und ohne Ruptur sind in der Literatur beschrieben. Der letale Verlauf der Bulimia nervosa einer 32 Jahre alt gewordenen Frau wird vorgestellt. Diese hatte einen Notdienst angerufen und um Medikamente zum Erbrechen gebeten. Eine stationäre Einweisung wurde vorgeschlagen; dies hatte die junge Frau abgelehnt. Später wurde sie in ihrer Wohnung tot aufgefunden. Bei der rechtsmedizinischen Sektion zeigte sich eine sehr schlanke Frau (Body-Mass-Index 21,35 kg/m2) mit geblähtem Bauch. Als Ursache fand sich ein massiv vergrößerter, den gesamten Bauchraum ausfüllender Magen mit einem Füllungsvolumen von 8540 ml. Als Todesursache werden funktionelle Dysregulationen diskutiert.

Abstract

Bulimia nervosa is an eating disorder that affects mainly young women. Deaths due to acute massive gastric dilatation after binge eating with and without rupture have been described in the literature. A fatal consequence of bulimia nervosa in a 32-year-old woman is presented who called the emergency services and asked for medicine for vomiting. A hospitalization was proposed but the young woman refused and later the same day she was found dead in her apartment. The forensic autopsy revealed a very slim woman (BMI 21.35 kg/m2) with a distended abdomen. The cause was a massively enlarged stomach with a filling volume of 8,540 ml. The cause of death was thought to be due to functional cardiovascular and respiratory dysregulation.

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  1. Institut für Rechtsmedizin, Universität Bonn, Stiftsplatz 12, 53111, Bonn, Deutschland

    E. Doberentz, F. Alkhamiri, C. Schyma & B. Madea

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  1. E. Doberentz
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  2. F. Alkhamiri
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  3. C. Schyma
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  4. B. Madea
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Correspondence to E. Doberentz.

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Doberentz, E., Alkhamiri, F., Schyma, C. et al. Plötzlicher Tod bei massiver Magendilatation. Rechtsmedizin 22, 391–395 (2012). https://doi.org/10.1007/s00194-012-0844-7

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  • DOI: https://doi.org/10.1007/s00194-012-0844-7

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