{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T06:37:48Z","timestamp":1772087868458,"version":"3.50.1"},"reference-count":37,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:00:00Z","timestamp":1772064000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:p>Acute gastric dilation (AGD) is a rare but critical medical condition characterized by a rapid and massive expansion of the stomach. While AGD secondary to binge-eating has been documented in literature, cases involving rapid consumption of carbonated beverages leading to acute gastric distention with subsequent pneumomediastinum are rarely reported. We present a case of a 17-year-old male who developed AGD following competitive ingestion of hamburgers and carbonated beverages, subsequently complicated by subcutaneous and mediastinal emphysema. Despite immediate gastric decompression via a nasogastric tube, the patient developed hemodynamic instability and oliguria. An emergency exploratory laparotomy was performed, during which a total of 3.6 liters of gastric contents were aspirated. The patient recuperated gradually under supportive care. This case highlights the necessity of early gastric decompression in binge-eating patients with significant carbonated beverage consumption who develop abdominal symptoms. The onset of hemodynamic instability or oliguria mandates urgent surgical intervention.<\/jats:p>","DOI":"10.3389\/fmed.2026.1719127","type":"journal-article","created":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T05:29:12Z","timestamp":1772083752000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Pneumomediastinum by acute gastric dilation after binge-eating: a case report and literature review"],"prefix":"10.3389","volume":"13","author":[{"given":"Xin","family":"Lu","sequence":"first","affiliation":[{"name":"Emergency Department, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigong","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Southmead Hospital","place":["Bristol, United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huadong","family":"Zhu","sequence":"additional","affiliation":[{"name":"Emergency Department, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi","family":"Li","sequence":"additional","affiliation":[{"name":"Emergency Department, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,2,26]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"e13","DOI":"10.1053\/j.gastro.2022.12.002","article-title":"Abdominal compartment syndrome after binge eating","volume":"164","author":"Franzoi","year":"2023","journal-title":"Gastroenterology"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1584032","DOI":"10.3389\/fmed.2025.1584032","article-title":"Acute gastric dilatation after excessive consumption of traditional Chinese medicine: a case report","volume":"12","author":"Zeng","year":"2025","journal-title":"Front Med (Lausanne)"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"e15640","DOI":"10.1111\/ped.15640","article-title":"Acute gastric dilatation with superior mesenteric artery syndrome after binge eating","volume":"65","author":"Amano","year":"2023","journal-title":"Pediatr 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