Rost, Felicitas, Köpp, Werner, Kiesewetter, Sybille and Deter, Hans-Christian (2010) The fatal outcome of an individual with anorexia nervosa and Sheehan's syndrome as a result of acute enterocolitis: A case report. International Journal of Eating Disorders, 43 (1). pp. 93-96. ISSN 1098-108X (Online) Full text available

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Abstract

Objectives: To illustrate the close association between a disturbed psychosocial up-bringing, frequent physical illness, and medical interventions. Method: We report a case of a 44-year-old woman with anorexia nervosa (AN) and Sheehan's syndrome who died as a result of a toxic cardiac arrest. Results: The patient presented with a BMI of 13.6 kg/m2. She refused any intensive-care treatment and died from toxic cardiac arrest. Postmortem examination revealed an acute gastroenterocolitis. Discussion: The history of this patient illustrates how psychological deprivation led to eating disturbances, early pregnancy, and the life-threatening delivery of twins. This resulted in a diagnosis of Sheehan's syndrome, hepatitis C, and a ventricular ulcer. A psychosocial event triggered a late exacerbation of her AN. A helpful alliance between patient and staff did not occur as she rejected it.

Item Type:	Article
Additional Information:	Article first published online: 26 Feb 2009
Uncontrolled Keywords:	Anorexia Nervosa, Sheehan's Syndrome, Cardiac Arrest, Eating Disorders, Disease Exacerbation
Subjects:	Disabilities & Disorders (mental & physical) > Eating Disorders
Department/People:	Adult and Forensic Services
URI:	https://repository.tavistockandportman.ac.uk/id/eprint/1227

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