{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T12:57:10Z","timestamp":1762001830998,"version":"3.40.4"},"reference-count":28,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,9,12]]},"abstract":"<jats:p>Acute gastric necrosis is a very rare but potentially fatal condition which has been reported in patients with abnormal eating behaviours.We describe the case of a 24-year-old female with a background of Asperger\u2019s syndrome, who presented with abdominal pain and gross distension. She underwent an emergency exploratory laparotomy and was found to have a massively distended, necrotic stomach. A total gastrectomy was performed with interval reconstruction planned. This case reports the surgical management of a rarely seen condition and highlights the importance of recognising gastric necrosis and its causes, which include patients with abnormal eating behaviours, the majority of whom are young females. This is the first report highlighting gastric necrosis in a patient with Asperger\u2019s syndrome and coincides with a growing recognition of the association between eating disorders and the autistic spectrum. It is also a rare example of patient survival following total gastric necrosis with perforation.<\/jats:p>","DOI":"10.1136\/bcr-2017-221158","type":"journal-article","created":{"date-parts":[[2017,9,27]],"date-time":"2017-09-27T12:30:21Z","timestamp":1506515421000},"page":"bcr-2017-221158","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Gastric necrosis and perforation in a patient with Asperger\u2019s syndrome"],"prefix":"10.1136","volume":"2017","author":[{"given":"Georgina","family":"Hicks","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nigel","family":"D\u2019Souza","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rhys","family":"Thomas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ranjeet","family":"Brar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,9,27]]},"reference":[{"key":"2025042712431956000_2017.sep27_1.bcr-2017-221158.1","doi-asserted-by":"crossref","first-page":"985","DOI":"10.1007\/s11605-007-0414-6","article-title":"Necrosis and Perforation Complicating Restrictive-Type Anorexia Nervosa","volume":"12","author":"Arie","year":"2008","journal-title":"Gastrointest Surg"},{"key":"2025042712431956000_2017.sep27_1.bcr-2017-221158.2","first-page":"580","article-title":"Acute gastric dilatation in the context of bulimia nervosa","volume":"107","author":"Panach-Navarrete","year":"2015","journal-title":"Rev Esp Enferm Dig"},{"key":"2025042712431956000_2017.sep27_1.bcr-2017-221158.3","doi-asserted-by":"publisher","DOI":"10.4103\/0974-2700.70774"},{"key":"2025042712431956000_2017.sep27_1.bcr-2017-221158.4","first-page":"279","article-title":"Acute massive gastric dilatation: severe ischemia and gastric necrosis without perforation","volume":"14","author":"Lunc\u0103","year":"2005","journal-title":"Rom J Gastroenterol"},{"key":"2025042712431956000_2017.sep27_1.bcr-2017-221158.5","doi-asserted-by":"crossref","first-page":"1639","DOI":"10.2147\/NDT.S83831","article-title":"Early-onset anorexia nervosa in girls with Asperger syndrome","volume":"11","author":"Dudova","year":"2015","journal-title":"Neuropsychiatr Dis Treat"},{"key":"2025042712431956000_2017.sep27_1.bcr-2017-221158.6","first-page":"31","article-title":"Eating disturbances in autism spectrum disorders with focus on adolescent and adult years","volume":"5","author":"R\u00e5stam","year":"2008","journal-title":"Clin Neuropsychiatry"},{"key":"2025042712431956000_2017.sep27_1.bcr-2017-221158.7","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1186\/2040-2392-4-24","article-title":"Do girls with anorexia nervosa have elevated autistic traits?","volume":"4","author":"Baron-Cohen","year":"2013","journal-title":"Mol Autism"},{"key":"2025042712431956000_2017.sep27_1.bcr-2017-221158.8","first-page":"403","article-title":"[Gastric necrosis caused by acute gastric dilatation. 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