HTML Issue

Volume 12 Issue 3 ( July-September ) 2023

Case Reports

A Rare Case of Diabetic Ketoacidosis with Type-1 Diabetes Mellitus with Bowel Obstruction
Dr. Chandrakant Salve, Dr. Aayush Malik, Dr. Piyush Malik

Diabetic ketoacidosis (DKA) is a common consequence of electrolyte and dehydration abnormalities that affect individuals with type-1 diabetes more commonly. However, mesenteric bands are extremely rare and usually observed in childhood. We here present a case of a male patient aged 19 years who represented with fever, abdominal pain, nausea, and vomiting(non-projectile). The laboratory revealed metabolic acidosis, high blood glucose, urine glucose and strongly positive high circulating blood ketones. Based on the laboratory findings patient has confirmed DKA. Despite correction of acidosis, the abdominal pain occurred for which an ultrasonography of the abdomen was performed which suggested features of bowel obstruction and exploratory laparotomy was performed which revealed multiple mesenteric bands present at various levels of small bowel with largest band present at the terminal part of ileum obstructing the small bowel. Mesenteric bands should thus be suspected in patients with diabetic ketoacidosis if the pain is persistent despite correction of acidosis.

 
Abstract View | Download PDF | Current Issue

Get In Touch

IJLBPR

322 Parlount Road Slough Berkshire SL3 8AX, UK

ijlbpr@gmail.com

Submit Article

© IJLBPR. All Rights Reserved.