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Recurrent subcutaneous emphysema as a consequence of bulimia nervosa
Author(s) -
McCurdy John M.,
McKenzie Courtney E.,
ElMallakh Rif S.
Publication year - 2013
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/eat.22044
Subject(s) - pneumomediastinum , subcutaneous emphysema , anorexia nervosa , bulimia nervosa , vomiting , complication , medicine , psychology , pediatrics , anesthesia , surgery , psychiatry , eating disorders
Abstract Objective: Pneumomediastinum is a rare complica‐tion of increased intrathoracic pressure. It is more likely to occur in individuals with nutritional deficiencies. Pneumomediastinum has been reported in some individuals with anorexia nervosa. Method: Case report. Results: Recurrent subcutaneous emphysema is probably secondary to recurrent pneumomediastinum in a woman with bulimia nervosa. Discussion: It is believed that increased intrathoracic pressure and nutritional deficiency associated with repeated induced vomiting contributed to this complication. This is the only case of recurrent subcutaneous emphysema. While in this case, and in most cases, the course was benign with eventual reabsorption of the subcutaneous air, pneumomediastinum can be a life‐threatening complication of bulimia nervosa. © 2012 by Wiley Periodicals, Inc. (Int J Eat Disord 2013)