{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T08:54:17Z","timestamp":1773392057865,"version":"3.50.1"},"reference-count":29,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T00:00:00Z","timestamp":1773360000000},"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>This case report describes a young female patient with a long-standing history of bulimia nervosa a who developed acute gastric dilatation (AGD) following a binge-eating episode. The patient declined surgical intervention, leading to rapid clinical deterioration and cardiac arrest. Despite achieving return of spontaneous circulation (ROSC) after cardiopulmonary resuscitation (CPR), followed by emergency surgery and extracorporeal membrane oxygenation (ECMO) support, she remained hemodynamically unstable and eventually died. This case highlights the critical severity of AGD and underscores the importance of early surgical intervention, while also discussing the limitations of ECMO in managing non-cardiogenic shock.<\/jats:p>","DOI":"10.3389\/fmed.2026.1738665","type":"journal-article","created":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T06:49:17Z","timestamp":1773384557000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Cardiac arrest caused by acute gastric dilatation in a bulimia patient: a case report"],"prefix":"10.3389","volume":"13","author":[{"given":"Qi","family":"Cai","sequence":"first","affiliation":[{"name":"School of Medicine, University of Electronic Science and Technology of China","place":["Chengdu, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Menglong","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, School of Medicine, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China","place":["Chengdu, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hongqiong","family":"Peng","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, School of Medicine, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China","place":["Chengdu, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hua","family":"Jiang","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Electronic Science and Technology of China","place":["Chengdu, China"]},{"name":"Department of Emergency Medicine, School of Medicine, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China","place":["Chengdu, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ping","family":"Zhou","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Electronic Science and Technology of China","place":["Chengdu, China"]},{"name":"Department of Emergency Medicine, School of Medicine, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China","place":["Chengdu, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,3,13]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"997","DOI":"10.1007\/s00595-012-0162-4","article-title":"Gastric rupture with necrosis following acute gastric dilatation: report of a case","volume":"42","author":"Mishima","year":"2012","journal-title":"Surg Today"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"219","DOI":"10.1186\/cc13865","article-title":"Extracorporeal life support devices and strategies for management of acute cardio-respiratory failure in adult patients: a comprehensive review","volume":"18","author":"Shekar","year":"2014","journal-title":"Crit Care"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"PD06","DOI":"10.7860\/JCDR\/2016\/16530.7450","article-title":"Binge eating leading to acute gastric dilatation, ischemic necrosis and rupture -a case report","volume":"10","author":"Dewangan","year":"2016","journal-title":"J Clin Diagn Res"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"P9","DOI":"10.1164\/rccm.1936P9","article-title":"What is ECMO?","volume":"193","author":"White","year":"2016","journal-title":"Am J Respir Crit Care Med"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1177\/0885066610384061","article-title":"A review of the fundamental principles and evidence base in the use of extra corporeal membrane oxygenation (ECMO) in critically ill adult patients","volume":"26","author":"Allen","year":"2011","journal-title":"J Intensive Care Med"},{"key":"ref6","first-page":"534","article-title":"Current status of extracorporeal life support (ECMO) for cardiopulmonary failure","volume":"76","author":"Bartlett","year":"2010","journal-title":"Minerva Anestesiol"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"686558","DOI":"10.3389\/fcvm.2021.686558","article-title":"Overview of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) support for the management of cardiogenic shock","volume":"8","author":"Tsangaris","year":"2021","journal-title":"Front Cardiovasc Med"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"830","DOI":"10.1001\/archsurg.1987.01400190096021","article-title":"Acute gastric necrosis in anorexia nervosa and bulimia. 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