Non-Occlusive Mesenteric Ischemia in Children With Diabetic Ketoacidosis: Case Report and Review of Literature
| Autor: | Frontino, Giulio, Di Tonno, Raffaella, Castorani, Valeria, Rigamonti, Andrea, Morotti, Elisa, Sandullo, Federica, Scialabba, Francesco, Arrigoni, Francesca, Foglino, Riccardo, Dionisi, Benedetta, Ferri, Chiara Irene Carla, Zirpoli, Salvatore, Barera, Graziano, Meschi, Franco, Bonfanti, Riccardo |
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| Přispěvatelé: | Frontino, Giulio, Di Tonno, Raffaella, Castorani, Valeria, Rigamonti, Andrea, Morotti, Elisa, Sandullo, Federica, Scialabba, Francesco, Arrigoni, Francesca, Foglino, Riccardo, Dionisi, Benedetta, Ferri, Chiara Irene Carla, Zirpoli, Salvatore, Barera, Graziano, Meschi, Franco, Bonfanti, Riccardo |
| Rok vydání: | 2022 |
| Předmět: |
non-occlusive mesenteric ischemia (NOMI)
continuous subcutaneous insulin infusion) [insulin pump (CSII] Adolescent Endocrinology Diabetes and Metabolism DKA (diabetic ketoacidosis) Abdominal Pain Diabetic Ketoacidosis T1DM (type 1 diabetes mellitus) Diabetes Mellitus Type 1 acute kidney injury hyperosmolar (hyperglycemic) coma Mesenteric Ischemia Humans Female Child |
| Zdroj: | Frontiers in Endocrinology. 13 |
| ISSN: | 1664-2392 |
| DOI: | 10.3389/fendo.2022.900325 |
| Popis: | IntroductionDespite the use of technology, recurrent diabetic ketoacidosis (DKA) prevention remains an unmet need in children and adolescents with T1D and may be accompanied by life-threatening acute complications. We present a rare case of non-occlusive mesenteric ischemia (NOMI) with overt manifestation after DKA resolution and a discussion of recent literature addressing DKA-associated NOMI epidemiology and pathogenesis in children and adolescents.Case PresentationA 13-year-old female with previously diagnosed T1D, was admitted at our emergency department with hypovolemic shock, DKA, hyperosmolar state and acute kidney injury (AKI). Mildly progressive abdominal pain persisted after DKA correction and after repeated ultrasound evaluations ultimately suspect for intestinal perforation, an intraoperative diagnosis of NOMI was made.ConclusionThe diagnosis of DKA-associated NOMI must be suspected in pediatric patients with DKA, persistent abdominal pain, and severe dehydration even after DKA resolution. |
| Databáze: | OpenAIRE |
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