title: Diabetic ketoacidosis as the presenting manifestation of pancreatic adenocarcinoma with cystic features.
abstract: The common presenting symptoms of pancreatic cancer are abdominal pain, weight loss, and jaundice. Pancreatic adenocarcinoma presenting with diabetic ketoacidosis is a very rare emergent clinical condition. However, pancreatic ductal cystadenocarcinoma presenting with diabetic ketoacidosis was not reported. We describe a 60-year-old man with pancreatic cystadenocarcinoma presenting with diabetic ketoacidosis as the initial manifestation. It must be kept in mind that in diabetic ketoacidosis cases, the precipitating factor may be pancreatic ductal cystadenocarcinoma.
authors.affiliation: Department of Internal Medicine, Sakarya University Faculty of Medicine, Sakarya, Turkey.
authors.forename: Tezcan
authors.initials: T
authors.lastname: Kaya
authors.affiliation: Department of Internal Medicine, Sakarya University Faculty of Medicine, Sakarya, Turkey.
authors.forename: Sumeyye
authors.initials: S
authors.lastname: Korkmaz
authors.affiliation: Department of Pathology, Sakarya University Training and Research Hospital, Sakarya, Turkey.
authors.forename: Erdem
authors.initials: E
authors.lastname: Vargol
authors.affiliation: Department of Radiology, Sakarya University Faculty of Medicine, Sakarya, Turkey.
authors.forename: Alper
authors.initials: A
authors.lastname: Karacan
authors.affiliation: Department of Internal Medicine, Sakarya University Faculty of Medicine, Sakarya, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Cinemre
keywords: Cystic neoplasms; Diabetic ketoacidosis; Pancreatic ductal carcinoma