Spontaneous rupture of the stomach: A complication of bulimia

Abstract

Spontaneous rupture of the stomach is an uncommon and often lethal con‐ dition. Although it has never before been attributed to bulimia, a number of previously reported cases have occurred in women who have eaten heavily. A case is presented in which rupture of the stomach clearly followed bingeing in a bulimic patient. The mechanism by which this could occur and the ram‐ ifications for treatment are discussed.

Binge-eating and Sodium Bicarbonate: A potent combination for gastric rupture in adults. Two case reports and a review of literature

“…On the other hand, greater curvature ruptures are due to lacerations resulting from emesis, as compared to lesser curvature ruptures which are due to distension. [31][32][33] In majority of the cases, rupture occurs at a single site (88.9%), similar to previous analyses (87%). [34] Increased intragastric pressure can occasionally cause ruptures at multiple sites, [34] and in our analysis, four cases report multiple perforations.…”

Binge-eating and Sodium Bicarbonate: A potent combination for gastric rupture in adults. Two case reports and a review of literature

“…On the other hand, greater curvature ruptures are due to lacerations resulting from emesis, as compared to lesser curvature ruptures which are due to distension. [31][32][33] In majority of the cases, rupture occurs at a single site (88.9%), similar to previous analyses (87%). [34] Increased intragastric pressure can occasionally cause ruptures at multiple sites, [34] and in our analysis, four cases report multiple perforations.…”

Acute Gastric Dilatation: “A Gluttony or a Crises in a Pandemic” An Update with review of Current literature

“…A history of Abdominal pain but repeated attempts and inability to vomit is a feature of a distended fundus occluding of the gastroesophageal junction seen in the initial stages of acute gastric dilatation. The reason cited for this inability to vomit is the angulation of the fundus of the stomach with oesophagus against the right crus of the diaphragm thereby producing a one way valve effect [17] . Another bedside sign is the inability to pass an NGT [19] .…”

Binge eating after a religious fast: Acute gastric dilation causing perforation – a case report

“…The distended fundus may press against the right diaphragmatic crus and so create a one-way valve, 9 which occludes the oesophago-gastric junction, thus prohibiting vomiting.…”

“…It has also been reported to occur among those who break their starved state by eating either large quantities of meat (pork) or trypsin inhibitor-containing foods like sweet potatoes, soybeans or peanuts. 8 The distended fundus may press against the right diaphragmatic crus and so create a one-way valve, 9 which occludes the oesophago-gastric junction, thus prohibiting vomiting.…”

Binge-eating and Sodium Bicarbonate: A potent combination for gastric rupture in adults. Two case reports and a review of literature

“…On the other hand, greater curvature ruptures are due to lacerations resulting from emesis, as compared to lesser curvature ruptures which are due to distension. [31][32][33] In majority of the cases, rupture occurs at a single site (88.9%), similar to previous analyses (87%). [34] Increased intragastric pressure can occasionally cause ruptures at multiple sites, [34] and in our analysis, four cases report multiple perforations.…”

Acute Gastric Dilatation: “A Gluttony or a Crises in a Pandemic” An Update with review of Current literature

“…A history of Abdominal pain but repeated attempts and inability to vomit is a feature of a distended fundus occluding of the gastroesophageal junction seen in the initial stages of acute gastric dilatation. The reason cited for this inability to vomit is the angulation of the fundus of the stomach with oesophagus against the right crus of the diaphragm thereby producing a one way valve effect [17] . Another bedside sign is the inability to pass an NGT [19] .…”

Binge eating after a religious fast: Acute gastric dilation causing perforation – a case report

“…The distended fundus may press against the right diaphragmatic crus and so create a one-way valve, 9 which occludes the oesophago-gastric junction, thus prohibiting vomiting.…”

“…It has also been reported to occur among those who break their starved state by eating either large quantities of meat (pork) or trypsin inhibitor-containing foods like sweet potatoes, soybeans or peanuts. 8 The distended fundus may press against the right diaphragmatic crus and so create a one-way valve, 9 which occludes the oesophago-gastric junction, thus prohibiting vomiting.…”

Binge-eating and Sodium Bicarbonate: A potent combination for gastric rupture in adults. Two case reports and a review of literature

“…On the other hand, greater curvature ruptures are due to lacerations resulting from emesis, as compared to lesser curvature ruptures which are due to distension. [31][32][33] In majority of the cases, rupture occurs at a single site (88.9%), similar to previous analyses (87%). [34] Increased intragastric pressure can occasionally cause ruptures at multiple sites, [34] and in our analysis, four cases report multiple perforations.…”

Acute Gastric Dilatation: “A Gluttony or a Crises in a Pandemic” An Update with review of Current literature

“…A history of Abdominal pain but repeated attempts and inability to vomit is a feature of a distended fundus occluding of the gastroesophageal junction seen in the initial stages of acute gastric dilatation. The reason cited for this inability to vomit is the angulation of the fundus of the stomach with oesophagus against the right crus of the diaphragm thereby producing a one way valve effect [17] . Another bedside sign is the inability to pass an NGT [19] .…”

Binge eating after a religious fast: Acute gastric dilation causing perforation – a case report

“…The distended fundus may press against the right diaphragmatic crus and so create a one-way valve, 9 which occludes the oesophago-gastric junction, thus prohibiting vomiting.…”

“…It has also been reported to occur among those who break their starved state by eating either large quantities of meat (pork) or trypsin inhibitor-containing foods like sweet potatoes, soybeans or peanuts. 8 The distended fundus may press against the right diaphragmatic crus and so create a one-way valve, 9 which occludes the oesophago-gastric junction, thus prohibiting vomiting.…”