title: Acute gastric dilatation causing bacterial cerebral aneurysm--case report.
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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  Trapping of the aneurysm was performed. Thirty-four days after admission, the patient had a residual right hemiparesis and motor aphasia, and was discharged.
authors.affiliation: Department of Critical Care and Emergency Medicine, Nara Prefectural Nara Hospital, Nara city, Japan. tmatsuya@nmu-gw.naramed-u.ac.jp
authors.forename: Takeshi
authors.initials: T
authors.lastname: Matsuyama
authors.forename: Satomin
authors.initials: S
authors.lastname: Komeda
authors.forename: Misato
authors.initials: M
authors.lastname: Nobayashi
authors.forename: Masami
authors.initials: M
authors.lastname: Imanishi
authors.forename: Shoichiro
authors.initials: S
authors.lastname: Kawaguchi
mesh_terms: D000208:Acute Disease; D000328:Adult; D000785:Aneurysm, Infected / Q000209:etiology*; D001037:Aphasia / Q000209:etiology; D052018:Bulimia Nervosa / Q000209:etiology; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000209:etiology; D002533:Cerebral Angiography; D005260:Female; D013271:Gastric Dilatation / Q000150:complications*; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology*; D010291:Paresis / Q000209:etiology; D013345:Subarachnoid Hemorrhage / Q000150:complications / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed