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Student Project | Medicine | India | Volume 13 Issue 3, March 2024 | Popularity: 5.3 / 10

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Gastroparesis in a Patient with Diabetic Ketoacidosis in a First Time Diagnosed Diabetes Mellitus Type I

Dr. Tanuja G. Kurkutiya, Dr. Mihir A. Chaudhary, Dr. Nisarg Modi, Dr. Nihar U. Gediya, Dr. Umeshchandra S. Gediya

Abstract: This case report presents a rare instance of acute gastric dilation complicating diabetic ketoacidosis DKA in a 20-year-old female patient without any significant past medical history. The patient arrived at the emergency department exhibiting symptoms such as difficulty breathing, generalized weakness, atypical chest pain, and severe abdominal pain, leading to the diagnosis of DKA complicated by acute gastroparesis. Laboratory findings revealed hyperglycemia, ketonuria, and acidosis, indicative of severe DKA, along with radiological evidence of gastroparesis. Management included insulin infusion, intravenous fluids, bicarbonate infusion, dietary modifications, prokinetics, and electrolyte correction. The patient?s condition improved significantly with these interventions. This case highlights the importance of considering gastroparesis in patients presenting with DKA, as symptoms like nausea, vomiting, and abdominal pain can mask or mimic other gastrointestinal emergencies. Prompt recognition and comprehensive management are crucial for favorable outcomes in such complex cases.

Keywords: diabetic ketoacidosis, gastroparesis, acute gastric dilation, hyperglycemia, emergency management

Edition: Volume 13 Issue 3, March 2024

Pages: 1489 - 1491

DOI: https://www.doi.org/10.21275/MR24319213739

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