title: Three cases of appendicitis with anorexia nervosa under inpatient care.
abstract: BACKGROUND
  Little is known about the occurrence of appendicitis during the re-nourishment period in anorexia nervosa (AN). We report three cases of appendicitis in patients with AN that occurred after hospitalization for treatment of AN.
  
  
  METHODS
  Case 1 is a 34-year-old female, case 2 is a 17-year-old female and case 3 is a 38-year-old female. Constipation was observed in all three cases. Careful management of defecation might be essential to prevent appendicitis among AN patients during the re-nourishment period under inpatient care. In addition, mild and diffuse symptoms were observed in all three cases. Therefore, diagnosis proved to be difficult to make and abdominal computed tomography was particularly helpful in all cases. As the symptoms were diffuse, the condition of appendicitis turned out to be more severe and complicated in one case. Additionally, the incidence of appendicitis in AN in the current study might be higher than that in the normal population.
  
  
  CONCLUSIONS
  These findings suggest that appendicitis should be considered as one of the potentially important complications in the therapy for AN.
authors.affiliation: Department of Psychosomatic Medicine, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, Fukuoka-shi, Fukuoka 812-8582 Japan.
authors.forename: Shu
authors.initials: S
authors.lastname: Takakura
authors.affiliation: Department of Psychosomatic Medicine, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, Fukuoka-shi, Fukuoka 812-8582 Japan.
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Yokoyama
authors.affiliation: Department of Psychosomatic Medicine, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, Fukuoka-shi, Fukuoka 812-8582 Japan.
authors.forename: Chie
authors.initials: C
authors.lastname: Suzuyama
authors.affiliation: Department of Psychosomatic Medicine, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka-shi, Fukuoka 812-8582 Japan.
authors.forename: Keita
authors.initials: K
authors.lastname: Tatsushima
authors.affiliation: Department of Psychosomatic Medicine, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, Fukuoka-shi, Fukuoka 812-8582 Japan.
authors.forename: Makoto
authors.initials: M
authors.lastname: Yamashita
authors.affiliation: Department of Psychosomatic Medicine, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, Fukuoka-shi, Fukuoka 812-8582 Japan.
authors.forename: Motoharu
authors.initials: M
authors.lastname: Gondou
authors.affiliation: Department of Psychosomatic Medicine, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, Fukuoka-shi, Fukuoka 812-8582 Japan.
authors.forename: Chihiro
authors.initials: C
authors.lastname: Morita
authors.affiliation: Department of Psychosomatic Medicine, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka-shi, Fukuoka 812-8582 Japan.
authors.forename: Tomokazu
authors.initials: T
authors.lastname: Hata
authors.affiliation: Department of Psychosomatic Medicine, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, Fukuoka-shi, Fukuoka 812-8582 Japan.
authors.forename: Masato
authors.initials: M
authors.lastname: Takii
authors.affiliation: Department of Psychosomatic Medicine, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, Fukuoka-shi, Fukuoka 812-8582 Japan.
authors.forename: Keisuke
authors.initials: K
authors.lastname: Kawai
authors.affiliation: Department of Psychosomatic Medicine, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, Fukuoka-shi, Fukuoka 812-8582 Japan ; Department of Psychosomatic Medicine, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka-shi, Fukuoka 812-8582 Japan.
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Sudo
keywords: Anorexia nervosa; Appendicitis; Inpatient therapy; Re-nourishment