title: Ischemic intestinal necrosis in a five-year-old girl with diabetic ketoacidosis.
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 ileo-jejunal anastomosis was done and the child survived.
authors: Department of Pediatric Surgery, Alzahra Hospital, School of Medicine, Isfahan University of Medical Science, Isfahan, Iran. ashrafi@med.mui.ac.ir
authors: Mahmoud
authors: M
authors: Ashrafi
authors: Mahin
authors: M
authors: Hashemipour
authors: Mohammad-Hassan
authors: MH
authors: Moadab
authors: Masoud
authors: M
authors: Jamshidi
authors: Mehrdad
authors: M
authors: Hosseinpour
mesh_terms: D002675:Child, Preschool; D016883:Diabetic Ketoacidosis / Q000150:complications*; D005260:Female; D006801:Humans; D007422:Intestines / Q000098:blood supply* / Q000473:pathology*; D007511:Ischemia / Q000473:pathology*; D009336:Necrosis; D011860:Radiography, Abdominal