{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T05:32:45Z","timestamp":1768541565782,"version":"3.49.0"},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2006,3,7]],"date-time":"2006-03-07T00:00:00Z","timestamp":1141689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2006,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective:<\/jats:title><jats:p>A 30\u2010year\u2010old woman with a 2\u2010year history of bulimia nervosa and severe abdominal pain after excessive food consumption visited our emergency room. Her abdomen showed marked generalized distension.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method:<\/jats:title><jats:p>Aspiration of the gastric contents was not successful, and despite efforts to resuscitate her, the patient died.<\/jats:p><\/jats:sec><jats:sec><jats:title>Result:<\/jats:title><jats:p>An autopsy showed a markedly distended stomach containing approximately 6,500 ml of solid foods. The aortomesenteric distance was &lt;1.0 cm and the aortomesenteric angle was &lt;20\u00b0, suggesting superior mesenteric artery (SMA) syndrome may have been a cause of death.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p>However, her condition was also consistent with duodenal obstruction due to a heavy stomach and high intra\u2010abdominal pressure, and her cause of death was diagnosed as intestinal obstruction due to an excessive volume of food. \u00a9 2006 by Wiley Periodicals, Inc., Int J Eat Disord, 2006<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.20263","type":"journal-article","created":{"date-parts":[[2006,3,7]],"date-time":"2006-03-07T22:52:01Z","timestamp":1141771921000},"page":"350-352","source":"Crossref","is-referenced-by-count":13,"title":["Death due to duodenal obstruction in a patient with an eating disorder: A case report"],"prefix":"10.1002","volume":"39","author":[{"given":"Hiroshi","family":"Ikegaya","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makoto","family":"Nakajima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaori","family":"Shintani\u2010Ishida","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koichi","family":"Uemura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ken\u2010ichi","family":"Yoshida","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,3,7]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-200093060-00014"},{"key":"e_1_2_1_3_2","first-page":"5","article-title":"The clinical significance of adhesions: focus on intestinal obstruction","volume":"577","author":"Ellis H","year":"1997","journal-title":"Eur J Surg"},{"key":"e_1_2_1_4_2","volume-title":"Gastroenterology. 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