Dumouchel J, Lvovschi V, Joly LM. Obstructive acute renal failure by severe gastric distension after binge.
Am J Emerg Med 2017;
35:1210.e5-1210.e7. [PMID:
28615144 DOI:
10.1016/j.ajem.2017.03.077]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2017] [Accepted: 03/19/2017] [Indexed: 11/30/2022] Open
Abstract
Binge eating occurs in patients with eating disorders and can result in metabolic complications, leading to gastric rupture or necrosis. However, organ failure as acute renal failure is rarely observed. We report the case of an overeating episode resulting in massive gastric dilatation and acute renal failure with abdominal pressure and bilateral ureteral obstruction. The outcome was favorable with gastric aspiration and fasting.
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