Diabetic Ketoacidosis with an Acute Abdomen as a First Manifestation of Type 1 Diabetes Mellitus

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61383082%3A_____%2F17%3A00000375" target="_blank" >RIV/61383082:_____/17:00000375 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11110/17:10368681

Result on the web

<a href="http://www.acta-endo.ro/Archive/Abstract?doi=2017.509" target="_blank" >http://www.acta-endo.ro/Archive/Abstract?doi=2017.509</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.4183/aeb.2017.509" target="_blank" >10.4183/aeb.2017.509</a>

Result language

angličtina

Original language name

Diabetic Ketoacidosis with an Acute Abdomen as a First Manifestation of Type 1 Diabetes Mellitus

Original language description

Context. Diabetic pseudoperitonitis is a very rare complication of the type 1 diabetes mellitus and it is associated with a severe ketoacidosis. The exact pathogenesis of the status is still unclear, the typical presentation is an acute abdomen by the patient. To confirm the diagnosis, it is necessary to make examinations, which exclude other possible reason of an acute abdomen by the patient (laboratory tests, abdominal ultrasound or a CT scan). Case presentation. A 46-years old man was admitted to the hospital wih a history of a 10 days epigastric pain. Laboratory tests, abdominal ultrasound, CT scan and upper endoscopy were performed, the reason of the pain remained unclear. Because of the peritoneal signs at the first day of the hospitalisation an acute surgery was indicated, without any pathology at the laparoscopy. A severe metabolic acidosis was recognized only after the surgery, the initial hypoglycaemia rose up after giving a total parenteral nutrition to the patient. The increase of the glycaemia, the severe metabolic acidosis with glycosuria and ketonuria, and the elevation of the glycated haemoglobin brought us to the diagnosis of the new onset of the diabetes. Conclusion. Diabetic pseudoperitonitis with the picture of an acute abdomen can occur as a first manifestation of the diabetes. Thinking of this rare complication and recognising it can avoid unnecessary acute surgery by the patient.

Czech name

—

Czech description

—

Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30202 - Endocrinology and metabolism (including diabetes, hormones)

Project

—

Continuities

N - Vyzkumna aktivita podporovana z neverejnych zdroju

Publication year

2017

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Acta Endocrinology

ISSN

1841-0987

e-ISSN

—

Volume of the periodical

13

Issue of the periodical within the volume

4

Country of publishing house

RO - ROMANIA

Number of pages

3

Pages from-to

509-511

UT code for WoS article

000423140200018

EID of the result in the Scopus database

—