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Evolution Assessed by the surgeon, who after considering the episode as an acute abdomen, indicated the need for surgical intervention. It was decided to perform a bedside ultrasound previous to the surgery, detecting an intraluminal structure without peristalsis, extending from the epigastrium to hypogastrium, suggestive of gastric dilatation. Study was completed by abdominal CT scan which confirmed the diagnosis. Following the new findings anamnesis was performed again. The patient told a high intake of yogurt and large amounts of water in the hours before the onset of symptoms. She explained previous episodes that resolved after vomiting, which had been impossible this time. A nasogastric tube was placed, checking its position by ultrasound. 6 liters of gastric contents were extracted within the next 48 hours. At days 2 and 4 a bedside ultrasound was performed, demonstrating the progressive decrease of gastric size. The patient was discharged after 6 days.

Gastric dilatation in women with eating disorder. Diagnosed and control by ultrasound