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- Bradford L Cardonell, Barry A Marks, and Michael H Entrup.
- From the Department of Anesthesiology, Geisinger Medical Center, Danville, Pennsylvania.
- A A Case Rep. 2016 Apr 15; 6 (8): 228-9.
AbstractThe development of acute abdominal pain in a laboring parturient after a previous cesarean delivery is of concern and may be the result of a potentially life-threatening condition such as uterine rupture. We present a case of a parturient with type II diabetes mellitus, who had undergone 2 previous cesarean deliveries and now presented in labor with increasing abdominal pain. An emergency cesarean delivery was performed for probable uterine rupture. Intraoperatively, the patient was noted to be severely hypocarbic with significant metabolic acidosis, and the diagnosis of diabetic ketoacidosis was established.
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