Kaya Tezcan, Korkmaz Sumeyye, Vargol Erdem, Karacan Alper, Cinemre Hakan
Department of Internal Medicine, Sakarya University Faculty of Medicine, Sakarya, Turkey.
Department of Pathology, Sakarya University Training and Research Hospital, Sakarya, Turkey.
Turk J Emerg Med. 2016 May 29;17(1):4-6. doi: 10.1016/j.tjem.2016.05.001. eCollection 2017 Mar.
The common presenting symptoms of pancreatic cancer are abdominal pain, weight loss, and jaundice. Pancreatic adenocarcinoma presenting with diabetic ketoacidosis is a very rare emergent clinical condition. However, pancreatic ductal cystadenocarcinoma presenting with diabetic ketoacidosis was not reported. We describe a 60-year-old man with pancreatic cystadenocarcinoma presenting with diabetic ketoacidosis as the initial manifestation. It must be kept in mind that in diabetic ketoacidosis cases, the precipitating factor may be pancreatic ductal cystadenocarcinoma.
胰腺癌常见的临床表现为腹痛、体重减轻和黄疸。以糖尿病酮症酸中毒为表现的胰腺腺癌是一种非常罕见的紧急临床情况。然而，此前并无胰腺导管囊腺癌伴发糖尿病酮症酸中毒的报道。我们报告一例60岁男性，以胰腺导管囊腺癌伴发糖尿病酮症酸中毒为首发表现。必须牢记，在糖尿病酮症酸中毒病例中，诱发因素可能是胰腺导管囊腺癌。
