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Acute gastric dilation caused by superior mesenteric artery syndrome
  1. Hiroki Matsuura1,2,
  2. Hidenobu Hata2
  1. 1 Department of General Internal Medicine, Okayama City Hospital, Okayama, Japan
  2. 2 Department of General Internal Medicine, Kurashiki Central Hospital, Kurashiki, Japan
  1. Correspondence to Dr Hiroki Matsuura, Department of General Internal Medicine, Okayama City Hospital, Okayama 700-0962, Japan; superonewex0506{at}

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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 …

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  • 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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