Fulminant type 1 diabetes mellitus following acute pancreatitis and hypoglycemia with sequential imaging of the pancreas using computed tomography: A case report

Tsukasa Miyagahara, Nao Fujimori, Takamasa Oono, Misato Okamoto, Naoichi Sato, Noriyuki Sonoda, Kenichi Kohashi, Kousei Ishigami, Yoshihiro Ogawa

研究成果: Contribution to journalArticle査読

抄録

Wc herein report a rare case of fulminant type 1 diabetes mellitus (FT1DM) following acute pancreatitis and hypoglycemia, in which the pancreas was evaluated by serial computed tomography (CT). A 30-year-old male presented to a local hospital with a two-day history of abdominal pain and was diagnosed with acute pancreatitis based on elevated serum amylase and peripancreatic fluid collection on CT images. The patient developed sudden hypoglycemia (plasma glucose, 45mg/dL: serum C-peptide, 3.4ng/mL) the next day and hyperglycemia (plasma glucose, 250-480mg/dL) on admission day four. CT revealed a low attenuation area extending from the pancreatic head to the pancreatic tail. On admission day eight, he was referred to our hospital and diagnosed with FT1DM after he developed ketoacidosis immediately after hospitalization, with a plasma glucose level of 442mg/dL, hemoglobin Ale concentration of 5.7% and undetectable urinary C- peptide with a serum C-peptide level of O.lng/mL before and after intravenous glucagon loading. CT imaging revealed dramatic improvement at the time, and no pancreatic islets were detected in the pancreatic biopsy specimens.

本文言語英語
ページ(範囲)161-167
ページ数7
ジャーナルJournal of Japanese Society of Gastroenterology
116
2
DOI
出版ステータス出版済み - 2019

All Science Journal Classification (ASJC) codes

  • 消化器病学

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