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Intussusception in a young female with Vibrio gastroenteritis and diabetic ketoacidosis.

Authors :
Koh JS
Hahm JR
Jung JH
Jung TS
Rhyu SS
Moon SW
Kang MY
Ahn YJ
Kim SJ
Chung SI
Source :
Internal medicine (Tokyo, Japan) [Intern Med] 2007; Vol. 46 (4), pp. 171-3. Date of Electronic Publication: 2007 Feb 15.
Publication Year :
2007

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.

Details

Language :
English
ISSN :
1349-7235
Volume :
46
Issue :
4
Database :
MEDLINE
Journal :
Internal medicine (Tokyo, Japan)
Publication Type :
Academic Journal
Accession number :
17301511
Full Text :
https://doi.org/10.2169/internalmedicine.46.1719