Surgical abdomen masked by metabolic crisis: fulminant ischemic colitis in severe diabetic ketoacidosis - a case report and literature review - Takeaways - MDSpire

Surgical abdomen masked by metabolic crisis: fulminant ischemic colitis in severe diabetic ketoacidosis - a case report and literature review

  • By

  • Jun Seong Chung

  • Jae Seung Kim

  • Jae Kyun Ju

  • July 13, 2026

Share

  • 1

    A 30-year-old woman with type 1 diabetes presented with severe hyperglycemia and metabolic acidosis following insulin omission.

  • 2

    Despite initial biochemical improvement, the patient developed worsening abdominal symptoms and hemodynamic instability.

  • 3

    Non-contrast abdominal CT revealed pneumatosis intestinalis, leading to an emergency subtotal colectomy.

  • 4

    Histopathological examination confirmed transmural infarction of the ascending colon with subserosal abscess formation.

  • 5

    This case emphasizes the need for prompt imaging and surgical consultation in patients with worsening abdominal findings during DKA.

Original Source(s)

Surgical abdomen masked by metabolic crisis: fulminant ischemic colitis in severe diabetic ketoacidosis - a case report and literature review

  • by Jun Seong Chung, Jae Seung Kim, Jae Kyun Ju

  • July 13, 2026

Related Content

Multifactorial stratified analysis of two novel metabolism-related indices for predicting stroke in mild cognitive impairment

Value of thyroid volume as a complementary indicator for initial levothyroxine dosing in congenital hypothyroidism: a retrospective cohort study

Influencing factors and model predictive analysis of the efficacy of adjuvant ¹³¹I therapy after DTC surgery