Massive ischemic intestinal necrosis at the onset of diabetes mellitus with ketoacidosis in a three-year-old girl

Linda A. DiMeglio, Mark S. Chaet, Charmian A. Quigley, Jay L. Grosfeld

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

A previously healthy 3-year-old girl had severe diabetic ketoacidosis complicated by hypovolemic shock. When her abdominal pain and acidosis failed to improve despite vigorous fluid resuscitation and insulin therapy, further investigation found an intestinal perforation. At laparotomy, gangrenous bowel was found, requiring an extensive enterectomy from the distal jejunum to the transverse colon; less than 90 cm of viable small intestine remained. The child survived a complicated postoperative course and currently is thriving on a normal diet.

Original languageEnglish (US)
Pages (from-to)1537-1539
Number of pages3
JournalJournal of pediatric surgery
Volume38
Issue number10
DOIs
StatePublished - Oct 1 2003

Keywords

  • Diabetes mellitus
  • Diabetic ketoacidosis
  • Intestinal ischemia
  • Nonocclusive mesenteric ischemia

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

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