Gastric Perforation Caused by Acute Massive Gastric Dilatation: Report of a Case
Bibliographic record
Abstract
Gastric necrosis with perforation caused by acute gastric dilatation is an extremely rare presenting complication. We experienced a rare case of gastric perforation caused by acute massive gastric dilatation after a binge-eating episode. A 23-year old woman was admitted with a chief complaint of acute abdominal pain with severe abdominal distension after a heavy meal. She had no history of abdominal surgery. On computed tomography, the stomach and the duodenum were severely dilated with food content. There was no tumor in the peritoneal cavity. Despite conservative management, the patient’s symptoms were aggravated after 2 days and she underwent an emergent laparotomy. Laparotomy revealed that the stomach and the second portion of the duodenum were severely dilated. There was a small perforation with surrounding necrotic change on the fundus of the stomach. We performed decompression through a gastrotomy and bypass duodeno-jejunostomy. The patient’s postoperative recovery was uneventful. Physicians should be aware that binge-eating habits may cause acute massive gastric dilatation in the absence of a typical eating disorder history. doi:10.4021/jmc635w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.005 |
| Meta-epidemiology (narrow) | 0.004 | 0.003 |
| Meta-epidemiology (broad) | 0.002 | 0.002 |
| Bibliometrics | 0.003 | 0.002 |
| Science and technology studies | 0.004 | 0.003 |
| Scholarly communication | 0.003 | 0.004 |
| Open science | 0.002 | 0.004 |
| Research integrity | 0.008 | 0.004 |
| Insufficient payload (model declined to judge) | 0.003 | 0.002 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".