1. Intussusception in a young female with Vibrio gastroenteritis and diabetic ketoacidosis.
- Author
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Koh JS, Hahm JR, Jung JH, Jung TS, Rhyu SS, Moon SW, Kang MY, Ahn YJ, Kim SJ, and Chung SI
- Subjects
- Abdominal Pain diagnosis, Abdominal Pain etiology, Adult, Combined Modality Therapy, Diabetic Ketoacidosis diagnosis, Diabetic Ketoacidosis therapy, Female, Follow-Up Studies, Gastroenteritis microbiology, Gastroenteritis therapy, Humans, Intussusception diagnosis, Intussusception therapy, Jejunal Diseases diagnosis, Jejunal Diseases therapy, Risk Assessment, Tomography, X-Ray Computed, Treatment Outcome, Vibrio Infections diagnosis, Vibrio Infections therapy, Vibrio parahaemolyticus isolation & purification, Diabetic Ketoacidosis complications, Gastroenteritis complications, Intussusception etiology, Jejunal Diseases etiology, Vibrio Infections complications
- Abstract
The incidence of functional intussusception is extremely rare in adults. A 23-year-old woman, previously diagnosed with type 1 diabetes mellitus (DM), complained of colicky abdominal pain associated with vomiting of 1-day duration. Currant jelly stool was observed. Irrespective of hydration and intravenous insulin injection under the diagnosis of diabetic ketoacidosis (DKA), her abdominal pain and laboratory parameters did not improve. Abdominal computerized tomography (CT) revealed a jejunojejunal intussusception. We maintained large-volume fluid administration, and her abdominal pain began to subside. The stool culture was positive for Vibrio parahaemolyticus. We confirm the intussusception that was resolved by supportive management without surgical intervention in a patient with gastroenteritis and diabetic ketoacidosis.
- Published
- 2007
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