Acute Multiple Arteriovenous Thromboses in a Patient with Diabetic Ketoacidosis.
Diabetic ketoacidosis (DKA) is one of the most serious acute complications of diabetes mellitus. An arterial thrombotic tendency from DKA is relatively common; however, the occurrence of acute multiple arteriovenous thromboses is rare. We herein report the case of a 49-year-old man with DKA complicated by multiple thromboses. After transfer to our emergency room with DKA, the patient developed sudden abdominal pain. Contrast-enhanced computed tomography revealed near-complete occlusion of the superior mesenteric artery, superior mesenteric vein, splenic artery, and right femoral artery. This occurrence highlights the need for considering the risk of thrombosis during the initial treatment for DKA.
Department of Diabetes, Endocrinology, and Metabolism, National Center for Global Health and Medicine, Japan.
Sayaka
S
Wakabayashi
Tetsuro
T
Tsujimoto
Miyako
M
Kishimoto
Nahoko
N
Ikeda
Kaori
K
Inoue
Noriko
N
Ihana
Hidetaka
H
Hamasaki
Hiroshi
H
Noto
Ritsuko
R
Yamamoto-Honda
Hiroshi
H
Kajio
Mitsuhiko
M
Noda
D015746:Abdominal Pain / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D000925:Anticoagulants / Q000008:administration & dosage; D016883:Diabetic Ketoacidosis / Q000150:complications / Q000601:surgery*; D006493:Heparin / Q000008:administration & dosage; D006801:Humans; D008297:Male; D008642:Mesenteric Veins / Q000000981:diagnostic imaging / Q000473:pathology*; D008875:Middle Aged; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000473:pathology*; D011859:Radiography; D013927:Thrombosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome
D000925:Anticoagulants; D006493:Heparin