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Published on: September 25, 2009
Acute gastric dilatation causing bacterial cerebral aneurysm--case report
Takeshi Matsuyama1, Satomin Komeda, Misato Nobayashi
1Department of Critical Care and Emergency Medicine, Nara Prefectural Nara Hospital, Nara city, Japan. tmatsuya@nmu-gw.naramed-u.ac.jp
The International Journal of Eating Disorders
|January 24, 2008
Summary
A rare case of acute gastric dilatation (AGD) led to a patient developing a ruptured basilar artery (BA) aneurysm. This case highlights a potential, severe complication of AGD treatment.
Area of Science:
- Neurology
- Gastroenterology
Background:
- Acute gastric dilatation (AGD) is a rare but potentially life-threatening condition.
- Patients with eating disorders, such as bulimia, are at higher risk for AGD.
Observation:
- A 24-year-old woman with a history of bulimia presented with severe abdominal distension and shock.
- Initial treatment involved draining 9 liters of gastric contents via nasogastric tube, stabilizing her circulation.
Findings:
- Three months post-admission, the patient developed neurological deficits including right hemiparesis and aphasia.
- Head CT revealed subarachnoid hemorrhage, and angiography identified a left middle cerebral artery aneurysm.
Implications:
- This case suggests a potential link between AGD and subsequent cerebrovascular events like aneurysm rupture.
- Further research is needed to understand the pathophysiology and management of such rare complications.
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