Nonocclusive mesenteric ischemia during treatment for ketoacidosis associated with acute‐onset type 1 diabetes mellitus: A case report

Abstract

This case report describes a patient with nonocclusive mesenteric ischemia that developed due to diabetic ketoacidosis. We believe that early diagnosis and intervention may improve the prognosis of nonocclusive mesenteric ischemia that has low vascular risk, with the major risk factor being dehydration due to diabetic ketoacidosis.

Recurrent bowel necrosis from non-occlusive mesenteric ischemia induced by diabetes ketoacidosis in an adult patient causing mortality: a rare cause of mortality associated with poorly controlled diabetes in adults

“…12 It has been reported that the mortality rate with delayed interventions can be up to 90%. 18,19 In our case, the patient had multiple episodes of DKA due to poor compliance with diabetes treatment due to poor socioeconomic background. He survived following two bowel resection surgeries, but the treatment was futile on the last presentation due to extensive bowel necrosis and frozen abdomen due to dense adhesions from the previous surgeries in the abdomen.…”