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A 31-year-old woman presented to the emergency department with an acute onset of severe abdominal pain, vomiting and abdominal distension 2 hours after binge eating at buffet-style restaurant. She had no previous cardiovascular, gastrointestinal or psychiatric problems. On physical examination, she exhibited surprising abdominal distension without rebound tenderness. Complete blood examination was unremarkable. CT showed a markedly distended stomach with food materials that reached the pelvis (figure 1A). A wide-bore nasogastric tube was inserted …
Contributors HM contributed to write the manuscript, patient care and discussion. HH also contributed to discussion and patient care.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Not required.
Provenance and peer review Not commissioned; internally peer reviewed.
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