Matsuyama T, Komeda S, Nobayashi M, Imanishi M, Kawaguchi S
Acute gastric dilatation causing bacterial cerebral aneurysm-Case report. [JOURNAL ARTICLE]
Int J Eat Disord 2008 Jan 22.
OBJECTIVE:: Acute gastric dilatation (AGD) is a very rare entity which can sometimes be life-threatening. We report a case of a patient presenting with a rupture of a BCA during the treatment of AGD.
METHOD:: A 24-year-old woman, who had a history of bulimia and vomiting episodes, was transferred in shock with marked abdominal distension. A large nasogastric tube was inserted, and 9 liters of viscous gastric contents were drained out. Her circulation became stable.
RESULTS:: About 3 months after admission, she became drowsy and presented with a right hemiparesis and aphasia. Computed tomography of the head showed a diffuse thick subarachnoid hemorrhage. Left carotid angiograms revealed an obscurely-shaped aneurysm in the left middle cerebral artery.
CONCLUSION:: Trapping of the aneurysm was performed. Thirty-four days after admission, the patient had a residual right hemiparesis and motor aphasia, and was discharged. (c) 2008 by Wiley Periodicals, Inc. Int J Eat Disord 2008.
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