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The Korean Journal of Medicine 2009;76(3): 338-342.
종격동 기종과 공기후복막증이 발현된 신경성 식욕부진 1예
김태협, 최기돈, 김민경, 김순주, 송호준, 정훈용, 김진호
A case of anorexia nervosa complicated by pneumomediastinum and retropneumoperitoneum
Tae Hyup Kim, Kee Don Choi, Min Kyung Kim, Soon Joo Kim, Ho June Song, Hwoon-Yong Jung, Jin-Ho Kim
Since anorexia nervosa is a multi-systemic disorder, as well as a psychiatric disorder, it needs a multidisciplinary approach. It causes many medical problems, including irregular menstruation, hematologic problems, decreased bone density, electrolyte imbalance, and dysrhythmias. Sometimes, this disorder also causes rare, unexpected complications, including abnormal air collections, such as pneumomediastinum, retropneumoperitoneum, or subcutaneous emphysema. The cause of these phenomena is unknown, although fragile parenchymal tissue that is disrupted easily when the local pressure is increased by coughing, vomiting, or defecation is a suggested cause. We experienced a case of anorexia nervosa complicated with abnormal air collections. After we excluded other possible causes, such as perforation of the gastrointestinal tract, and ordered the patient to undergo a short fast and inhale oxygen, the abnormal air collections resolved. We report this case because of its rarity and benign course.
Keywords: Anorexia nervosa; Pneumomediastinum; Retropneumoperitoneum; Subcutaneous emphysema
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