Endocrinology and Metabolism  2011;26(4):355-359

doi:10.3803/EnM.2011.26.4.355

Diabetic Ketoacidosis Associated with Emphysematous Gastritis: A Case Report.

Young Min CHOI 1 ; Jun Won SEO ; Woo Jin LEE ; Hyeong Jin PARK ; Ji Hye SHIN ; Seung Bum KANG ; Jun LEE ; Jin Hwa KIM ; Sang Yong KIM ; Hak Yeon BAE

Affiliations

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Keywords

Diabetic ketoacidosis; Emphysematous gastritis

Country

Republic of Korea

Language

Korean

Abstract

Diabetic ketoacidosis is a serious and demanding medical emergency for the field of endocrinology, and the identification and correction of the precipitating factors is equally important. Many patients of diabetic ketoacidosis show gastrointestinal symptoms as an initial presentation, and coincidental gastrointestinal diseases can be neglected or misdiagnosed. Emphysematous gastritis is a rare and lethal disease in which gas bubbles form in the stomach wall. The predisposing factors include ingestion of corrosive substances, alcohol abuse, diabetes, and immunosuppressive therapy. Thus, it may be difficult to detect emphysematous gastritis early, especially when it is developed in conjunction with diabetic ketoacidosis. We report a case of diabetic ketoacidosis associated with emphysematous gastritis in a young male without medical history.