Journal of Postgraduate Medicine
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Year : 2008  |  Volume : 54  |  Issue : 2  |  Page : 149  

Massive gastric distension from excessive food ingestion

T Kajiya1, K Shiki1, T Asano1, K Omori1, Y Natsume1, S Sakurai1, C Tei2,  
1 Department of General Internal Medicine, Oshima Medical Association Hospital, Kagoshima, Japan
2 Department of Cardiovascular, Respiratory and Metabolic Medicine, Kagoshima University Hospital, Japan

Correspondence Address:
T Kajiya
Department of General Internal Medicine, Oshima Medical Association Hospital, Kagoshima
Japan




How to cite this article:
Kajiya T, Shiki K, Asano T, Omori K, Natsume Y, Sakurai S, Tei C. Massive gastric distension from excessive food ingestion.J Postgrad Med 2008;54:149-149


How to cite this URL:
Kajiya T, Shiki K, Asano T, Omori K, Natsume Y, Sakurai S, Tei C. Massive gastric distension from excessive food ingestion. J Postgrad Med [serial online] 2008 [cited 2021 Mar 9 ];54:149-149
Available from: https://www.jpgmonline.com/text.asp?2008/54/2/149/40785


Full Text

A 47-year-old man with a history of traumatic acute subdural hematoma as well as atypical psychosis was cared for in a nursing home. His sister, who was treated for schizophrenia at a psychiatry clinic, visited him at the home, giving him food and drink including about 1.5kg of rice, 1kg of sweet potatoes, two packages of snacks and two liters of soft drinks. Two hours later he began to vomit and complained of abdominal pain. Upon hospitalization, abdominal radiography disclosed massive gastric distension [Figure 1]. Computed tomography showed no sign of bowel obstruction. After treatment with an ileus tube and intravenous fluids for 1month his stomach had shrunk to a normal size. Patients who have a history of psychiatric disease may ingest incredible amounts of food, leading to massive gastric distention. [1] There are many underlying diseases which are known to cause gastric distention, such as tumors and ileus. However, gastric distention due to food itself is uncommon. The gastric capacity of bulimic patients is larger than that of normal people. [2] However, when the amount of food ingested exceeds gastric capacity, it could be lethal. [3] Conservative therapy may be acceptable, but such patients should be monitored carefully and should remain hospitalized.

References

1Czarnecki CA, O'Coclain DF. Severe abdominal pain in a girl. N Engl J Med 2002;347:e3.
2Geliebter A, Hashim SA. Gastric capacity in normal, obese and bulimic woman. Physiol Behav 2001;74:743-6.
3Ikegaya H, Nakajima M, Shintani-Ishida K, Uemura K, Yoshida K. Death due to duodenal obstruction in a patient with an eating disorder. Int J Eat Disord 2006;39:350-2.

 
Tuesday, March 9, 2021
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