Hyperosmolar Non-ketotic Diabetic Coma: With Particular Reference to Vascular Complications

Two West Indian men with no previous history of diabetes mellitus developed hyperosmolar non-ketotic diabetic coma. Intra-abdominal catastrophes secondary to mesenteric thrombosis played a major part in the death of these patients, in both of whom control of the hyperosmolar state had been achieved....

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Bibliographic Details
Published in:BMJ 1971-01, Vol.1 (5740), p.85-86
Main Authors: Whelton, Michael J., Walde, David, Havard, C. W. H.
Format: Article
Language:English
Subjects:
Abdomen
Abdomen, Acute - etiology
African Continental Ancestry Group
Blood
Colostomy
Comas
Diabetes complications
Diabetic angiopathies
Diabetic coma
Diabetic Coma - complications
Gangrene - etiology
Gastrointestinal Hemorrhage - etiology
Hospital admissions
Hospital units
Humans
Ileum - pathology
Infarction - etiology
Jejunum - pathology
Laparotomy
Male
Mesentery - pathology
Middle Aged
Papers and Originals
Potassium
Pulmonary Embolism - etiology
Rectum - pathology
Thrombophlebitis - etiology
Thrombosis - etiology
West Indies
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Summary:Two West Indian men with no previous history of diabetes mellitus developed hyperosmolar non-ketotic diabetic coma. Intra-abdominal catastrophes secondary to mesenteric thrombosis played a major part in the death of these patients, in both of whom control of the hyperosmolar state had been achieved. Both patients had evidence of infarction of intestine at necropsy. Vascular thromboses are a major complication of this form of coma and must be considered when such patients develop signs of an acute abdomen.
ISSN:0007-1447
0959-8138
1468-5833
DOI:10.1136/bmj.1.5740.85