Acute gastric dilatation causing bacterial cerebral aneurysm—Case report

Objective: Acute gastric dilatation (AGD) is a very rare entity which can sometimes be life‐threatening. We report a case of a patient presenting with a rupture of a BCA during the treatment of AGD. Method: A 24‐year‐old woman, who had a history of bulimia and vomiting episodes, was transferred in shock with marked abdominal distension. A large nasogastric tube was inserted, and 9 liters of viscous gastric contents were drained out. Her circulation became stable. Results: About 3 months after admission, she became drowsy and presented with a right hemiparesis and aphasia. Computed tomography of the head showed a diffuse thick subarachnoid hemorrhage. Left carotid angiograms revealed an obscurely‐shaped aneurysm in the left middle cerebral artery. Conclusion: Trapping of the aneurysm was performed. Thirty‐four days after admission, the patient had a residual right hemiparesis and motor aphasia, and was discharged. © 2008 by Wiley Periodicals, Inc. Int J Eat Disord 2008