Food for Thought: Complications of Acute Gastric Distension in Prader–Willi Syndrome

A 24-year-old man with Prader–Willi syndrome (PWS) presented with abdominal pain, nausea, and emesis 3 days after ingesting 8 pounds of raisins and 48 ounces of peanut butter during a food binge. On physical examination, he was afebrile and found to have a diffusely tender abdomen without peritoneal signs. Laboratory test results were significant for a normal white blood cell count, amylase level of 180 U/L, lipase level of 114 IU/L, and a lactate level of 3.2 mEq/L. A computed tomography of the abdomen showed massive distention of the stomach, duodenal bulb, and second portion of the duodenum (FigureA).
Source: Clinical Gastroenterology and Hepatology - Category: Gastroenterology Authors: Tags: Image of the Month Source Type: research