title: Death due to neurogenic shock following gastric rupture in an anorexia nervosa patient.
abstract: We report a case of fatal gastric rupture discovered after death, which developed due to a bulimic attack of a 19-year-old woman suffering from anorexia nervosa. An autopsy revealed an acute gastric dilatation and rupture without commonly observed ischemic damage of gastric wall structures. However, it may be difficult to determine the cause of death despite the marked findings. The death as a consequence of neurogenic shock accounts for all the results of gross examination and histologic analysis. This case is the first reported case of fatal gastric rupture of an anorectic patient discovered after death.
authors.affiliation: Institute of Legal Medicine, Ludwig-Maximilians-University, Frauenlobstrasse 7a, D-80337 Munich, Germany. inga.sinicina@rechts.med.uni-muenchen.de
authors.forename: I
authors.initials: I
authors.lastname: Sinicina
authors.forename: H
authors.initials: H
authors.lastname: Pankratz
authors.forename: A
authors.initials: A
authors.lastname: Büttner
authors.forename: G
authors.initials: G
authors.lastname: Mall
mesh_terms: D000328:Adult; D000856:Anorexia Nervosa / Q000150:complications*; D002032:Bulimia / Q000150:complications*; D005260:Female; D013271:Gastric Dilatation / Q000209:etiology / Q000473:pathology; D006471:Gastrointestinal Hemorrhage / Q000473:pathology; D006801:Humans; D012769:Shock / Q000209:etiology*; D013275:Stomach Rupture / Q000209:etiology* / Q000473:pathology