title: Acute tension pneumothorax and tension pneumoperitoneum in a patient with anorexia nervosa.
abstract: Gastric rupture secondary to bulimia is a rare complication of anorexia nervosa first described in 1968. We present a case of an 18-year-old woman who presented to the Emergency Department with acute gastric rupture leading to both tension pneumoperitoneum and tension pneumothorax. Although case reports of spontaneous pneumoperitoneum and separate reports of spontaneous pneumothorax in anorexic patients have been published, none of them has been associated with gastric rupture.
authors: Section of Emergency Medicine, Yale University School of Medicine, New Haven, Connecticut 06519, USA.
authors: James L
authors: JL
authors: Morse
authors: Basmah
authors: B
authors: Safdar
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000293:Adolescent; D000856:Anorexia Nervosa / Q000150:complications*; D052018:Bulimia Nervosa / Q000150:complications*; D005260:Female; D006801:Humans; D009336:Necrosis; D011027:Pneumoperitoneum / Q000000981:diagnostic imaging / Q000209:etiology*; D011030:Pneumothorax / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D012422:Rupture, Spontaneous; D013270:Stomach / Q000473:pathology; D013275:Stomach Rupture / Q000150:complications* / Q000209:etiology / Q000473:pathology