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Not just an upset stomach: gastric perforation in a patient with anorexia nervosa

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Abstract

Gastric perforation in patients with anorexia nervosa is a rare entity associated with high morbidity and mortality [Norris in Int J Eat Disord 49:216–237, 2016]. In cases reported in the literature, the perforation was often preceded by a binge episode, and the subsequent clinical presentation was rapid and acutely deteriorating with a fatality rate as high as 80% [Norris in Int J Eat Disord 49:216–237, 2016, Pitre in J Med Case Rep 15:61, 2021]. We present a case of gastric perforation in the context of restrictive anorexia nervosa unique both for the absence of a premorbid binge episode as well as delayed clinical manifestations of medical distress, leading to abdominal compartment syndrome.

Level IV Evidence obtained from multiple time series analysis such as case studies.

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All authors were involved in patient’s care and helped in data collection and case discussion.

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Correspondence to Ahmad Hassan.

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Hassan, A., Lawlis, S., Landmann, A. et al. Not just an upset stomach: gastric perforation in a patient with anorexia nervosa. Eat Weight Disord 27, 1907–1911 (2022). https://doi.org/10.1007/s40519-021-01312-3

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  • DOI: https://doi.org/10.1007/s40519-021-01312-3

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