Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 14 , ISSUE 2 ( March-April, 2022 ) > List of Articles


Diabetic Ketoacidosis Masquerading as Rupture Uterus

Shreedhar Venkatesh, Madhva Prasad, Lopamudra Pradhan, Amrutha Pentakota

Keywords : Abruptio placenta, Acute care obstetrics, Diabetic ketoacidosis, Gestational diabetes, Unconsciousness in pregnancy

Citation Information : Venkatesh S, Prasad M, Pradhan L, Pentakota A. Diabetic Ketoacidosis Masquerading as Rupture Uterus. J South Asian Feder Obs Gynae 2022; 14 (2):200-201.

DOI: 10.5005/jp-journals-10006-2019

License: CC BY-NC 4.0

Published Online: 21-06-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Aim: To report a case of a pregnant patient with unconsciousness who was presented with features of obstetric hemorrhage but was diagnosed with diabetes ketoacidosis. Background: Gestational diabetes mellitus can cause many complications. Of these, diabetic ketoacidosis (DKA) is one. The clinical features of DKA include nausea, vomiting, mild abdominal discomfort, tachycardia, elevated random blood sugars, despite a normal or near normal HbA1c, and presence of urinary ketones. Case description: G2P1L1 with 28 weeks period of gestation who presented clinically similar to abruptio placenta, underwent cesarean section, but had coexisting DKA. Conclusion: When a patient presents with unconsciousness, the tendency of an obstetrician is to consider an obstetric diagnosis, whereas a coexisting metabolic condition which should not be neglected.

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