title: Gastric dilatation in a girl with former obesity and atypical anorexia nervosa.
abstract: OBJECTIVE
  This case report describes a 16 year-old girl of normal weight with acute gastric dilatation due to binge eating habits.
  
  
  RESULTS
  Psychiatric assessment revealed a history of obesity and later atypical anorexia nervosa, but no current diagnosis of a typical eating disorder. After one month of daily binges a food excess was followed by an acute massive gastric dilatation which led to a laparotomy.
  
  
  CONCLUSIONS
  Clinicians should be aware that abnormal eating habits may cause severe somatic complications even in patients of normal weight who are not currently diagnosed as having a typical eating disorder. Careful investigation of eating habits might have resulted in therapeutic gastric emptying at an earlier stage, thus avoiding the need for surgery in our patient.
authors.affiliation: Department of Child and Adolescent Psychiatry and Psychotherapy, Technical University Aachen, Germany. Kristian.Holtkamp@kjp.rwth-aachen.de
authors.forename: Kristian
authors.initials: K
authors.lastname: Holtkamp
authors.forename: Rubin
authors.initials: R
authors.lastname: Mogharrebi
authors.forename: Charlotte
authors.initials: C
authors.lastname: Hanisch
authors.forename: Volker
authors.initials: V
authors.lastname: Schumpelick
authors.forename: Beate
authors.initials: B
authors.lastname: Herpertz-Dahlmann
mesh_terms: D000293:Adolescent; D000856:Anorexia Nervosa / Q000175:diagnosis* / Q000523:psychology; D002032:Bulimia / Q000150:complications*; D005260:Female; D013271:Gastric Dilatation / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D005746:Gastric Emptying / Q000502:physiology; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D009765:Obesity / Q000150:complications*; D012720:Severity of Illness Index