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

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

Research output: Contribution to journalArticle

15 Citations (Scopus)

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
Externally publishedYes

Fingerprint

Intestinal Perforation
Diabetic Ketoacidosis
Transverse Colon
Ketosis
Jejunum
Acidosis
Resuscitation
Laparotomy
Abdominal Pain
Small Intestine
Shock
Diabetes Mellitus
Necrosis
Insulin
Diet
Therapeutics

Keywords

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

ASJC Scopus subject areas

  • Surgery

Cite this

Massive ischemic intestinal necrosis at the onset of diabetes mellitus with ketoacidosis in a three-year-old girl. / DiMeglio, Linda; Chaet, Mark S.; Quigley, Charmian A.; Grosfeld, Jay L.

In: Journal of Pediatric Surgery, Vol. 38, No. 10, 01.10.2003, p. 1537-1539.

Research output: Contribution to journalArticle

DiMeglio, Linda ; Chaet, Mark S. ; Quigley, Charmian A. ; Grosfeld, Jay L. / Massive ischemic intestinal necrosis at the onset of diabetes mellitus with ketoacidosis in a three-year-old girl. In: Journal of Pediatric Surgery. 2003 ; Vol. 38, No. 10. pp. 1537-1539.
@article{e592ffd99c9c4d9fab285198638ca154,
title = "Massive ischemic intestinal necrosis at the onset of diabetes mellitus with ketoacidosis in a three-year-old girl",
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.",
keywords = "Diabetes mellitus, Diabetic ketoacidosis, Intestinal ischemia, Nonocclusive mesenteric ischemia",
author = "Linda DiMeglio and Chaet, {Mark S.} and Quigley, {Charmian A.} and Grosfeld, {Jay L.}",
year = "2003",
month = "10",
day = "1",
doi = "10.1016/S0022-3468(03)00510-4",
language = "English (US)",
volume = "38",
pages = "1537--1539",
journal = "Journal of Pediatric Surgery",
issn = "0022-3468",
publisher = "W.B. Saunders Ltd",
number = "10",

}

TY - JOUR

T1 - Massive ischemic intestinal necrosis at the onset of diabetes mellitus with ketoacidosis in a three-year-old girl

AU - DiMeglio, Linda

AU - Chaet, Mark S.

AU - Quigley, Charmian A.

AU - Grosfeld, Jay L.

PY - 2003/10/1

Y1 - 2003/10/1

N2 - 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.

AB - 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.

KW - Diabetes mellitus

KW - Diabetic ketoacidosis

KW - Intestinal ischemia

KW - Nonocclusive mesenteric ischemia

UR - http://www.scopus.com/inward/record.url?scp=0141958057&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0141958057&partnerID=8YFLogxK

U2 - 10.1016/S0022-3468(03)00510-4

DO - 10.1016/S0022-3468(03)00510-4

M3 - Article

VL - 38

SP - 1537

EP - 1539

JO - Journal of Pediatric Surgery

JF - Journal of Pediatric Surgery

SN - 0022-3468

IS - 10

ER -