Eating Disorders and Behaviors
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Abstract
Abstract
Bulimia nervosa (BN) is an eating disorder characterized by recurrent binge eating and compensatory behaviors.Diagnostic crossover to anorexia nervosa (AN) often occurs in chronic cases.We report a 29-year-old male with a ten-year BN history who presented with mild dyspepsia and a single episode of black-colored vomiting.Physical examination was unremarkable.However, laboratory tests revealed hypokalemia and renal dysfunction.Imaging demonstrated a 1-cm gastric perforation that required emergency surgery.Psychiatric evaluation confirmed AN-binge-eating/purging type (AN-b/p).Following surgery, combined therapy with fluoxetine and topiramate achieved clinical stabilization, promoted weight gain, and eliminated purging behaviors.This case underscores that gastric perforation, although rare, is a potentially life-threatening complication of AN-b/p.In eating disorders, altered pain perception may blunt symptom awareness, enabling serious complications to progress silently.Multidisciplinary collaboration is essential for effective treatment and recovery.
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@article{Altunda2026Spontaneous,
title = {Spontaneous Gastric Perforation in a Young Male with Anorexia Nervosa, Binge-eating/Purging Type: A Case Report},
author = {İbrahim Altundağ and Halil İbrahim Eren and Mehmet Taylan KOÇER},
journal = {Namık Kemal Tıp Dergisi},
year = {2026},
doi = {10.4274/nkmj.galenos.2025.99267},
url = {https://doi.org/10.4274/nkmj.galenos.2025.99267}
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