Extreme acute gastric dilatation after a bulimic attack

This is a case report of a 22-year-old woman, with acute gastric dilatation, caused by bulimia, complicated with severe and irreversible shock. History and clinical findings: The patient was referred with acute abdominal pain and abdominal distension to our department. After a bulimic attack, her complains (diarrhoea, vomiting, later inability to vomit, severe abdominal pain, and bowel distension) started about 5–6 hours before admission. Physical examination showed an extremely distended abdomen. The lower extremities were cold and cyanotic, and the femoral pulse was absent. Investigations: The plan film, the C…