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Gastric bezoar in anorexia nervosa
C Laird Birmingham1, S Cardew, S Gritzner
1Eating Disorders Program, University of British Columbia, St. Paul's Hospital, Vancouver, British Columbia V6Z 1Y6, Canada. clbirm@interchange.ubc.ca
Eating and Weight Disorders : EWD
|July 7, 2007
Summary
This case report highlights a rare gastric bezoar in a patient with anorexia nervosa (AN). Early recognition of gastrointestinal symptoms is crucial for timely diagnosis and management of bezoars in AN patients.
Area of Science:
- Gastroenterology
- Psychiatry
- Radiology
Background:
- Anorexia nervosa (AN) is a complex eating disorder with significant gastrointestinal manifestations.
- Bezoars, indigestible masses in the GI tract, are uncommon complications, particularly in AN.
Observation:
- A 19-year-old female with a 2-year history of AN (binge-purge subtype) presented with worsening nausea after dietary adherence.
- She spontaneously vomited a gastric bezoar, a cylindrical mass requiring pathological examination.
Findings:
- Literature review revealed a paucity of reported bezoar cases in AN patients.
- Computed tomography (CT) scan of the abdomen is the diagnostic modality of choice for bezoars.
Implications:
- Clinicians should suspect bezoars in AN patients presenting with gastrointestinal symptoms, especially with co-occurring pica or trichotillomania.
- Increased awareness and diagnostic vigilance are necessary for managing this rare complication of AN.
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