Acute gastric dilatation causing bacterial cerebral aneurysm—Case report

✍ Scribed by Matsuyama, Takeshi ;Komeda, Satomin ;Nobayashi, Misato ;Imanishi, Masami ;Kawaguchi, Shoichiro

• Publisher: Wiley (John Wiley & Sons)
• Year: 2008
• Tongue: English
• Weight: 243 KB
• Volume: 41
• Category: Article
• ISSN: 0276-3478
• DOI: 10.1002/eat.20487

✦ Synopsis

Abstract

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. © 2008 by Wiley Periodicals, Inc. Int J Eat Disord 2008