An unusual case of mesenteric ischemia in a patient with new-onset diabetes mellitus.
The early detection of acute mesenteric ischemia is crucial for the preservation of bowel viability. The emergency physician must have a high index of suspicion to identify mesenteric ischemia when there is a paucity of physical examination findings. We discuss the case of a patient who presented to the emergency department with confusion, hyperglycemia, abdominal tenderness, and metabolic acidosis who also developed mesenteric ischemia.
Sharieff
G Q
GQ
Stanford-Kaiser Emergency Medicine Residency, Palo Alto, CA, USA.
Shad
J A
JA
Garmel
G
G
D000368:Aged; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D006944:Hyperglycemic Hyperosmolar Nonketotic Coma / Q000150:complications*; D007082:Ileum / Q000098:blood supply; D007511:Ischemia / Q000209:etiology*; D008297:Male; D008641:Mesenteric Vascular Occlusion / Q000000981:diagnostic imaging / Q000209:etiology*; D014057:Tomography, X-Ray Computed