Multiple Intestinal Intussusceptions as a Complication of Severe Hyperglycemia in a Patient with Diabetic Ketoacidosis
Intussusception in adults is a rare phenomenon, occurring in approximately 1 in 30,000 hospital admissions annually. When it does occur, the majority of cases involve an organic lesion serving as a lead point for intussusception, such as tumors or postoperative adhesions. In a small percentage of ca...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Endocrinology |
| Online Access: | http://dx.doi.org/10.1155/2012/526041 |
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| author | Pooja Raghavan Jeffrey Salon Dhyan Rajan |
| author_facet | Pooja Raghavan Jeffrey Salon Dhyan Rajan |
| author_sort | Pooja Raghavan |
| collection | DOAJ |
| description | Intussusception in adults is a rare phenomenon, occurring in approximately 1 in 30,000 hospital admissions annually. When it does occur, the majority of cases involve an organic lesion serving as a lead point for intussusception, such as tumors or postoperative adhesions. In a small percentage of cases, a lead point is not found, and intussusception is thought to be idiopathic or secondary to a disease process contributing to dysrhythmic peristalsis of the gastrointestinal tract. A few cases of functional intussusception have been reported as being secondary to severe hyperglycemia and metabolic derangements, including metabolic acidosis and hyperkalemia, by causing impaired gastrointestinal motility. We present a case of a 23-year-old Caucasian male who presented with severe hyperglycemia and diabetic ketoacidosis. Imaging of the abdomen revealed three intussusceptions involving the small intestine, which were easily reduced manually during exploratory laparotomy. |
| format | Article |
| id | doaj-art-9d7c51cabc064a1f9cce0ed582f38b06 |
| institution | DOAJ |
| issn | 2090-6501 2090-651X |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Endocrinology |
| spelling | doaj-art-9d7c51cabc064a1f9cce0ed582f38b062025-08-20T03:19:46ZengWileyCase Reports in Endocrinology2090-65012090-651X2012-01-01201210.1155/2012/526041526041Multiple Intestinal Intussusceptions as a Complication of Severe Hyperglycemia in a Patient with Diabetic KetoacidosisPooja Raghavan0Jeffrey Salon1Dhyan Rajan2Department of Medicine, Medical Education, Mount Carmel Health, 793 West State Street, Columbus, OH 43222, USADivision of Critical Care Medicine, Mount Carmel Health, Columbus, OH 43222, USADepartment of Medicine, Nassau University Medical Center, East Meadow, NY 11554, USAIntussusception in adults is a rare phenomenon, occurring in approximately 1 in 30,000 hospital admissions annually. When it does occur, the majority of cases involve an organic lesion serving as a lead point for intussusception, such as tumors or postoperative adhesions. In a small percentage of cases, a lead point is not found, and intussusception is thought to be idiopathic or secondary to a disease process contributing to dysrhythmic peristalsis of the gastrointestinal tract. A few cases of functional intussusception have been reported as being secondary to severe hyperglycemia and metabolic derangements, including metabolic acidosis and hyperkalemia, by causing impaired gastrointestinal motility. We present a case of a 23-year-old Caucasian male who presented with severe hyperglycemia and diabetic ketoacidosis. Imaging of the abdomen revealed three intussusceptions involving the small intestine, which were easily reduced manually during exploratory laparotomy.http://dx.doi.org/10.1155/2012/526041 |
| spellingShingle | Pooja Raghavan Jeffrey Salon Dhyan Rajan Multiple Intestinal Intussusceptions as a Complication of Severe Hyperglycemia in a Patient with Diabetic Ketoacidosis Case Reports in Endocrinology |
| title | Multiple Intestinal Intussusceptions as a Complication of Severe Hyperglycemia in a Patient with Diabetic Ketoacidosis |
| title_full | Multiple Intestinal Intussusceptions as a Complication of Severe Hyperglycemia in a Patient with Diabetic Ketoacidosis |
| title_fullStr | Multiple Intestinal Intussusceptions as a Complication of Severe Hyperglycemia in a Patient with Diabetic Ketoacidosis |
| title_full_unstemmed | Multiple Intestinal Intussusceptions as a Complication of Severe Hyperglycemia in a Patient with Diabetic Ketoacidosis |
| title_short | Multiple Intestinal Intussusceptions as a Complication of Severe Hyperglycemia in a Patient with Diabetic Ketoacidosis |
| title_sort | multiple intestinal intussusceptions as a complication of severe hyperglycemia in a patient with diabetic ketoacidosis |
| url | http://dx.doi.org/10.1155/2012/526041 |
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