Abdominal Pain in Diabetic Ketoacidosis: Beyond the Obvious

Carlos Tavares Bello, Miguel Franco Gago, Francelina Fernandes, Maria Manuela Oliveira

Abstract


Diabetic ketoacidosis (DKA) is a medical emergency characterized by hyperglycemia, high anion gap metabolic acidosis and elevated circulating ketone bodies resulting from severe impairment of insulin secretion and/or action. Besides dehydration, nausea and vomiting, abdominal pain is also considered to be a cardinal clinical feature of DKA. Diagnosis relies on biochemical criteria, and disease severity on clinical and laboratory findings. Radiological investigation is not standard of care of DKA despite being required in specific situations. The authors report on a case of a patient with DKA and abdominal pain, whose investigation revealed chronic pancreatitis and a massive splenic artery pseudoaneurysm. The case is remarkable for the rarity of the clinical entity and reminds the clinician to the importance of imaging in newly diagnosed diabetes.




J Endocrinol Metab. 2018;8(2-3):43-46
doi: https://doi.org/10.14740/jem494w


Keywords


Abdominal pain; Diabetic ketoacidosis; Chronic pancreatitis; Splenic artery pseudoaneurysm

Full Text: HTML PDF
 

Browse  Journals  

     

Journal of clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics

World Journal of Oncology

Gastroenterology Research

Journal of Hematology

Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity

Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research

Journal of Neurology Research

International Journal of Clinical Pediatrics

 

 

 

 

 

Journal of Endocrinology and Metabolism, bimonthly, ISSN 1923-2861 (print), 1923-287X (online), published by Elmer Press Inc.            
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)


This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.jofem.org   editorial contact: editor@jofem.org
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.