Showing 2 Abstracts.
Massé-bouillé Guy-anne, Taddeo Danielle, Jamoulle Olivier, Frappier Jean-yves, Wilkins Jean, Miron Marie-claude
Final Pr. ID: Poster #: CR-060
Anorexia nervosa is a condition with a wide range of presenting signs and symptoms. Our report describes an adolescent suffering from restrictive anorexia nervosa (no purging) who presented with a Body Mass Index (BMI) of 9,73 kg/m2 and asymptomatic spontaneous subcutaneous emphysema, pneumomediastinum, pneumoperitoneum and pneumatosis intestinalis. History revealed fatigue, lower limbs weakness, jaw pain and swollen neck over the last few weeks but no abdominal complaints. She was successfully managed with supportive care and progressive enteral nutrition leading to a favourable outcome with significant weight gain (BMI of 12,1 kg/m2 at discharge). Her clinical course was complicated by refeeding syndrome and Rotavirus gastro-enteritis leading to a pre-shock state. We hypothesize that her clinical presentation was attributable to severe chronic undernourishment. Previous reports support the theory that severe undernourishment can lead to altered interstitial wall composition, which could result in migration of air through weakened alveolar or intestinal wall. This case is of interest given that spontaneous pneumoperitoneum and pneumatosis intestinalis have rarely been described in association with anorexia nervosa, especially in an asymptomatic patient. In addition, her favorable outcome suggests that these patients can effectively be managed with conservative care. Read More
Authors: Massé-bouillé Guy-anne , Taddeo Danielle , Jamoulle Olivier , Frappier Jean-yves , Wilkins Jean , Miron Marie-claude
Keywords: anorexia nervosa, pneumatosis intestinalis, pneumoperitoneum
Shekdar Karuna, Anupindi Sudha, Reid Janet
Final Pr. ID: Poster #: EDU-033
To describe the spectrum of imaging abnormalities seen in eating disorders such as anorexia nervosa in the pediatric population.
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Authors: Shekdar Karuna , Anupindi Sudha , Reid Janet