caa a22 4500 475753836 CHVBK 20180406123532.0 cr unu---uuuuu 170329e20000501xx s 000 0 eng 10.1007/s005950050618 doi (NATIONALLICENCE)springer-10.1007/s005950050618 Gastric perforation caused by a bulimic attack in an anorexia nervosa patient: Report of a case [Elektronische Daten] [Atsunori Nakao, Hiroshi Isozaki, Hiromi Iwagaki, Taiichiro Kanagawa, Norihisa Takakura, Noriaki Tanaka] We report a rare case of gastric perforation due to a bulimic attack in a 17-year-old girl suffering from anorexia nervosa. She was admitted to our hospital with the chief complaint of abdominal pain following bulimia. Initially, her symptoms were reduced after drainage using a nasogastric tube. Eight hours later, however, she fell into a state of preshock. Abdominal radiography revealed subphrenic free air. We diagnosed the patient as having diffuse peritonitis. At laparotomy, the stomach was dilated and necrotic with perforation. Almost the entire stomach was resected. Postoperatively, the patient recovered uneventfully. We should therefore be aware of this condition when treating patients with anorexia nervosa who complain of abdominal pain. Springer-Verlag, 2000 gastric perforation nationallicence bulimic attack nationallicence anorexia nervosa nationallicence Nakao Atsunori First Department of Surgery, Okayama Medical School, 2-7-10 Shikata-cho, 700-8558, Okayama, Okayama, Japan aut Isozaki Hiroshi First Department of Surgery, Okayama Medical School, 2-7-10 Shikata-cho, 700-8558, Okayama, Okayama, Japan aut Iwagaki Hiromi First Department of Surgery, Okayama Medical School, 2-7-10 Shikata-cho, 700-8558, Okayama, Okayama, Japan aut Kanagawa Taiichiro First Department of Surgery, Okayama Medical School, 2-7-10 Shikata-cho, 700-8558, Okayama, Okayama, Japan aut Takakura Norihisa First Department of Surgery, Okayama Medical School, 2-7-10 Shikata-cho, 700-8558, Okayama, Okayama, Japan aut Tanaka Noriaki First Department of Surgery, Okayama Medical School, 2-7-10 Shikata-cho, 700-8558, Okayama, Okayama, Japan aut Surgery Today Springer-Verlag 30/5(2000-05-01), 435-437 0941-1291 30:5<435 2000 30 595 https://doi.org/10.1007/s005950050618 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950050618 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nakao Atsunori First Department of Surgery, Okayama Medical School, 2-7-10 Shikata-cho, 700-8558, Okayama, Okayama, Japan aut NATIONALLICENCE 700 1- Isozaki Hiroshi First Department of Surgery, Okayama Medical School, 2-7-10 Shikata-cho, 700-8558, Okayama, Okayama, Japan aut NATIONALLICENCE 700 1- Iwagaki Hiromi First Department of Surgery, Okayama Medical School, 2-7-10 Shikata-cho, 700-8558, Okayama, Okayama, Japan aut NATIONALLICENCE 700 1- Kanagawa Taiichiro First Department of Surgery, Okayama Medical School, 2-7-10 Shikata-cho, 700-8558, Okayama, Okayama, Japan aut NATIONALLICENCE 700 1- Takakura Norihisa First Department of Surgery, Okayama Medical School, 2-7-10 Shikata-cho, 700-8558, Okayama, Okayama, Japan aut NATIONALLICENCE 700 1- Tanaka Noriaki First Department of Surgery, Okayama Medical School, 2-7-10 Shikata-cho, 700-8558, Okayama, Okayama, Japan aut NATIONALLICENCE 773 0- Surgery Today Springer-Verlag 30/5(2000-05-01), 435-437 0941-1291 30:5<435 2000 30 595 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer