Gastric Pneumatosis in the Setting of Diabetic Ketoacidosis
Gastric pneumatosis, an uncommon radiologic finding characterized by the presence of gas within the gastric wall, presents a diagnostic challenge due to its association with both benign gastric emphysema and more severe emphysematous gastritis. The contrasting outcomes and management approaches for...
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2023/6655536 |
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| author | Mohammed Rifat Shaik Chet Ranabhat Nishat Anjum Shaik Akshay Duddu Zaid Bilgrami Guofeng Xie |
| author_facet | Mohammed Rifat Shaik Chet Ranabhat Nishat Anjum Shaik Akshay Duddu Zaid Bilgrami Guofeng Xie |
| author_sort | Mohammed Rifat Shaik |
| collection | DOAJ |
| description | Gastric pneumatosis, an uncommon radiologic finding characterized by the presence of gas within the gastric wall, presents a diagnostic challenge due to its association with both benign gastric emphysema and more severe emphysematous gastritis. The contrasting outcomes and management approaches for these conditions underscore the necessity for accurate diagnosis and appropriate intervention. We present a case of a 29-year-old female with a medical history significant for type 1 diabetes mellitus who presented with abdominal pain, nausea, and vomiting. Initial evaluation revealed elevated blood glucose levels, an anion gap metabolic acidosis, and evidence of gastric pneumatosis on imaging. The patient was managed with aggressive fluid resuscitation and intravenous insulin therapy per diabetic ketoacidosis protocol. General surgery evaluation ruled out the need for acute surgical intervention and attributed the gastric pneumatosis to increased intragastric pressures from prolonged vomiting. The patient was managed with conservative measures, including nasogastric tube decompression and antibiotics. Over the course of a few days, the patient showed signs of clinical and radiologic improvement, with a resolution of symptoms. This case highlights the importance of accurate diagnosis and appropriate management strategies tailored to the underlying pathology to optimize patient outcomes in cases of gastric pneumatosis. |
| format | Article |
| id | doaj-art-b901e5d8802c48ec99efc80b0ea51e12 |
| institution | Kabale University |
| issn | 2090-6536 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-b901e5d8802c48ec99efc80b0ea51e122025-02-03T06:48:31ZengWileyCase Reports in Gastrointestinal Medicine2090-65362023-01-01202310.1155/2023/6655536Gastric Pneumatosis in the Setting of Diabetic KetoacidosisMohammed Rifat Shaik0Chet Ranabhat1Nishat Anjum Shaik2Akshay Duddu3Zaid Bilgrami4Guofeng Xie5Department of MedicineDepartment of MedicineDepartment of MedicineDepartment of MedicineDepartment of RadiologyDepartment of MedicineGastric pneumatosis, an uncommon radiologic finding characterized by the presence of gas within the gastric wall, presents a diagnostic challenge due to its association with both benign gastric emphysema and more severe emphysematous gastritis. The contrasting outcomes and management approaches for these conditions underscore the necessity for accurate diagnosis and appropriate intervention. We present a case of a 29-year-old female with a medical history significant for type 1 diabetes mellitus who presented with abdominal pain, nausea, and vomiting. Initial evaluation revealed elevated blood glucose levels, an anion gap metabolic acidosis, and evidence of gastric pneumatosis on imaging. The patient was managed with aggressive fluid resuscitation and intravenous insulin therapy per diabetic ketoacidosis protocol. General surgery evaluation ruled out the need for acute surgical intervention and attributed the gastric pneumatosis to increased intragastric pressures from prolonged vomiting. The patient was managed with conservative measures, including nasogastric tube decompression and antibiotics. Over the course of a few days, the patient showed signs of clinical and radiologic improvement, with a resolution of symptoms. This case highlights the importance of accurate diagnosis and appropriate management strategies tailored to the underlying pathology to optimize patient outcomes in cases of gastric pneumatosis.http://dx.doi.org/10.1155/2023/6655536 |
| spellingShingle | Mohammed Rifat Shaik Chet Ranabhat Nishat Anjum Shaik Akshay Duddu Zaid Bilgrami Guofeng Xie Gastric Pneumatosis in the Setting of Diabetic Ketoacidosis Case Reports in Gastrointestinal Medicine |
| title | Gastric Pneumatosis in the Setting of Diabetic Ketoacidosis |
| title_full | Gastric Pneumatosis in the Setting of Diabetic Ketoacidosis |
| title_fullStr | Gastric Pneumatosis in the Setting of Diabetic Ketoacidosis |
| title_full_unstemmed | Gastric Pneumatosis in the Setting of Diabetic Ketoacidosis |
| title_short | Gastric Pneumatosis in the Setting of Diabetic Ketoacidosis |
| title_sort | gastric pneumatosis in the setting of diabetic ketoacidosis |
| url | http://dx.doi.org/10.1155/2023/6655536 |
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