title: Bowel ischemia and necrosis in anorexia nervosa: A case report and review of the literature.
abstract: BACKGROUND
  Bowel ischemia and necrosis is an uncommon complication of anorexia nervosa (AN), which may pose significant diagnostic and therapeutic challenges. The review of the existing literature shows that the mortality rate of this condition reaches 80%.
  
  
  METHODS
  We present a case of a 30 year old woman with long-standing AN complicated by ischemia and necrosis of the entire small bowel and the right hemicolon.
  
  
  CONCLUSIONS
  A high index of suspicion of bowel ischemia is necessary when patients with AN present with abdominal symptoms. Timely diagnosis and treatment may prevent bowel necrosis and death.
authors: Endocrine Oncology Branch, NIH-National Cancer Institute, Bethesda, MD 20892,USA. Electronic address: vladimir.neychev@nih.gov.
authors: Vladimir
authors: V
authors: Neychev
authors: Department of Surgery, Danbury Hospital, Danbury CT 06810,USA.
authors: John
authors: J
authors: Borruso