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Ned Tijdschr Geneeskd · Jan 2000
Review Case Reports[Diabetic ketoacidosis presenting as acute abdomen].
- M F van de Laak, E W ter Braak, and D W Erkelens.
- Universitair Medisch Centrum, afd. Interne Geneeskunde, Utrecht.
- Ned Tijdschr Geneeskd. 2000 Jan 22; 144 (4): 153-6.
AbstractThree patients, two women aged 21 and 67 and a man aged 43 years, presented at the emergency department with diabetic ketoacidosis and abdominal symptoms mimicking an acute abdominal condition. In two of them laparotomy was performed which proved to be negative. Abdominal symptoms resolved after correction of metabolic, fluid and electrolyte disturbances. Symptoms indicating a possible diagnosis of acute abdomen have to be regarded as being compatible with diabetic ketoacidosis per se. However, a potential acute abdominal problem prompting surgical intervention should not be overlooked; it may have been the precipitating factor for diabetic ketoacidosis.
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