TY - JOUR
T1 - An unusual complication of diabetes mellitus
T2 - The zebra that became a horse
AU - Nicol, Kathleen K.
AU - Davis, Gregory J.
N1 - Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.
PY - 1997/1
Y1 - 1997/1
N2 - A 41-year-old black woman with a history of well-controlled, insulin- dependent diabetes mellitus was in her usual state of relatively good health when she had acute onset of fight upper quadrant and epigastric abdominal pain, nausea, and vomiting. Physical examination and laboratory evaluation revealed gastrointestinal hemorrhage, decreased mental status, and acidemia, and emergency exploratory laparotomy elucidated ischemic bowel, of which 90 cm was resected. Postoperatively, the patient had cardiac arrest and could not be resuscitated. Autopsy was remarkable for mesenteric venous thrombosis and pylethrombosis, with ischemic necrosis of bowel and passive hyperemia. The arterial side of the cardiovascular system was relatively unaffected. Although arterial vascular complications of diabetes mellitus are well known, venous complications are less well described.
AB - A 41-year-old black woman with a history of well-controlled, insulin- dependent diabetes mellitus was in her usual state of relatively good health when she had acute onset of fight upper quadrant and epigastric abdominal pain, nausea, and vomiting. Physical examination and laboratory evaluation revealed gastrointestinal hemorrhage, decreased mental status, and acidemia, and emergency exploratory laparotomy elucidated ischemic bowel, of which 90 cm was resected. Postoperatively, the patient had cardiac arrest and could not be resuscitated. Autopsy was remarkable for mesenteric venous thrombosis and pylethrombosis, with ischemic necrosis of bowel and passive hyperemia. The arterial side of the cardiovascular system was relatively unaffected. Although arterial vascular complications of diabetes mellitus are well known, venous complications are less well described.
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U2 - 10.1097/00007611-199701000-00021
DO - 10.1097/00007611-199701000-00021
M3 - Article
C2 - 9003834
AN - SCOPUS:0031032797
SN - 0038-4348
VL - 90
SP - 83
EP - 85
JO - Southern Medical Journal
JF - Southern Medical Journal
IS - 1
ER -