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Published on 10/05/2015 by admin

Filed under Gastroenterology and Hepatology

Last modified 10/05/2015

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CASE 28

History: A 30-year-old woman with bulimia presented after a bulimic binge of 10 liters of water with collapse and abdominal distention. Emergency laparotomy was performed where the stomach appeared viable and a gastrostomy tube was placed. She deteriorated over the next 2 weeks.

1. What conditions can be associated with this finding? (Choose all that apply.)

A. Pulmonary disease

B. Peptic ulcer disease

C. Gastric outlet obstruction

D. Gastroparesis

E. Endoscopy (especially with intervention)

2. Some infectious processes are recognized to produce this abnormality. Which of these agents is not known to cause this abnormality?

A. Hemolytic streptococci

B. Clostridium species

C. Coliform bacteria

D. Helicobacter pylori

3. Ingestion of what type of substance can cause this problem?