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Ischemic Intestinal Necrosis in a Five-Year-Old Girl With Diabetic Ketoacidosis Pubmed



Ashrafi M1 ; Hashemipour M2 ; Moadab MH2 ; Jamshidi M1 ; Hosseinpour M1
Authors
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Authors Affiliations
  1. 1. Department of Pediatric Surgery, Alzahra Hospital, Isfahan University of Medical Science, Isfahan, Iran
  2. 2. Department of Pediatric Endocrinology, Alzahra Hospital, Isfahan University of Medical Science, Isfahan, Iran

Source: Archives of Iranian Medicine Published:2007


Abstract

Diabetic ketoacidosis is a major source of morbidity and mortality in children and adolescents with type I diabetes mellitus. Although, diabetic ketoacidosis is often associated with dehydration and electrolyte disturbances, cases with gastrointestinal tract complications due to shock remain particularly unusual. Herein, we reported on a five-year-old girl who had severe diabetic ketoacidosis complicated by hypovolemic shock. Her abdominal pain and acidosis despite vigorous fluid resuscitation and insulin therapy failed to improve. Further investigations showed intestinal problem. At laparatomy gangrenous bowel - about 20 cm long - near the distal ileum was found. Entrectomy and ileojejunal anastomosis was done and the child survived.