Death due to Duodenal Obstruction in a Patient with an Eating Disorder: A Case Report

    loading  Checking for direct PDF access through Ovid

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.

Related Topics

    loading  Loading Related Articles