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CASE REPORT
Gastric necrosis and perforation in a patient with Asperger’s syndrome
  1. Georgina Hicks,
  2. Nigel D’Souza,
  3. Rhys Thomas,
  4. Ranjeet Brar
  1. Department of General Surgery, Croydon University Hospital, Croydon, UK
  1. Correspondence to Georgina Hicks, g.hicks{at}nhs.net

Summary

Acute gastric necrosis is a very rare but potentially fatal condition which has been reported in patients with abnormal eating behaviours.We describe the case of a 24-year-old female with a background of Asperger’s syndrome, who presented with abdominal pain and gross distension. She underwent an emergency exploratory laparotomy and was found to have a massively distended, necrotic stomach. A total gastrectomy was performed with interval reconstruction planned. This case reports the surgical management of a rarely seen condition and highlights the importance of recognising gastric necrosis and its causes, which include patients with abnormal eating behaviours, the majority of whom are young females. This is the first report highlighting gastric necrosis in a patient with Asperger’s syndrome and coincides with a growing recognition of the association between eating disorders and the autistic spectrum. It is also a rare example of patient survival following total gastric necrosis with perforation.

  • gastrointestinal surgery
  • eating disorders
  • stomach and duodenum
  • general surgery

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Footnotes

  • Contributors GH: research and literature review, writing of manuscript drafts and revisions, NDS: case report conception, drafting and revision of manuscript, RT and RB: critical revision of manuscript. All authors approved final version and agree to be accountable.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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