[Diabetic ketoacidosis of the child revealed by a pseudo-surgical acute abdomen. A case report].
Ketoacidosis is a frequent mode of revelation of diabetes of the child. Signs of diabetes are generally unperceived or are badly interpreted by the family entourage. We report a case of diabetic ketoacidosis in an eight-year-old child without particular medical history. The context of discovery was an acute abdomen by gastric dilatation in a severe context of dehydration. Evolution was quickly favourable after medical treatment with disappearance of acute abdominal signs (clinical and radiological). This observation enables us to recall, by the light of a review of the literature, that diabetic ketoacidosis can be revealed by pseudo-surgical acute abdomen and treatment is purely medical.
Bèye
M D
MD
Service d'anesthésie et Réanimation, CHU Aristide Le Dantec de Dakar, Sénégal. mamadoubeye@yahoo.fr
Ndiaye
P I
PI
Bah
M D
MD
Fall
L
L
Ndoye Diop
M
M
Kane
O
O
Diouf
E
E
Sall
K B
KB
D000006:Abdomen, Acute / Q000209:etiology*; D002648:Child; D003681:Dehydration / Q000209:etiology; D016883:Diabetic Ketoacidosis / Q000175:diagnosis* / Q000628:therapy; D013271:Gastric Dilatation / Q000209:etiology; D006801:Humans; D008297:Male