medicina60巻10号

2023年09月発行

特集 ミミッカー症例からいかに学ぶか 各論：思い出のミミッカー症例

外科的急性腹症にしては変…？

著者： 佐藤直行¹

所属機関： ¹ハートライフ病院総合内科

ページ範囲：P.1690 - P.1694

暫定診断が想起されるまで
症例　21歳男性
主訴　腹痛，嘔吐

参考文献

1）Umpierrez G, Freire AX：Abdominal pain in patients with hyperglycemic crises. J Crit Care 17：63-67, 2002

2）Seth P, et al：Clinical profile of diabetic ketoacidosis；A prospective study in a tertiary care hospital. J Clin Diagn Res 9：OC01-4, 2015

3）Csomor J, et al：Diabetic ketoacidosis with an acute abdomen as a first manifestation of type 1 diabetes mellitus. Acta Endocrinol（Buchar）13：509-511, 2017

4）M English, et al：Deep breathing in children with severe malaria；Indicator of metabolic acidosis and poor outcome. Am J Trop Med Hyg 55：521-524, 1996

5）Tomulić KL, et al：Epidemiologic characteristics of children with diabetic ketoacidosis treated in a pediatric intensive care unit in a 10-year-period；Single centre experience in Croatia. Medicina（Kaunas）58：638-647, 2022

6）Shahid W, et al：Diabetic ketoacidosis；Clinical characteristics and precipitating factors. Cureus 12：e10792-e10795, 2020

7）Kietaibl AT, et al：New diabetic medication sodium-glucose cotransporter-2 inhibitors can induce euglycemic ketoacidosis and mimic surgical diseases；A case report and review of literature. Front Surg 9：828649, 2022

8）Fields JM, Dean AJ：Systemic causes of abdominal pain. Emerg Med Clin North Am 29：195-210, 2011

9）Ford W, et al：Diabetes in the emergency department and hospital；Acute care of diabetes patients. Curr Emerg Hosp Med Rep 1：1-9, 2013