Recurrent bowel necrosis from non-occlusive mesenteric ischemia induced by diabetes ketoacidosis in an adult patient causing mortality: a rare cause of mortality associated with poorly controlled diabetes in adults


  • Munasinghe Silva Department of General Surgery, Caboolture Hospital, Queensland, Australia
  • Vinay Gounder Department of General Surgery, Caboolture Hospital, Queensland, Australia



Diabetes ketoacidosis, Non-occlusive mesenteric ischemia, Type 2 diabetes mellitus, Bowl necrosis, Mortality


Diabetes ketoacidosis (DKA) is associated with severe dehydration resulting in non-obstructive mesenteric ischemia (NOMI), which can contribute to severe patient complications. Recurrent episodes of NOMI with DKA in adults can be associated with mortality rarely. We presented a case of an adult patient with poorly controlled insulin-dependent type 2 diabetes mellitus due to poor socioeconomic background who presented to the emergency department with multiple episodes of bowel necrosis causing mortality.


Author Biographies

Munasinghe Silva, Department of General Surgery, Caboolture Hospital, Queensland, Australia

Registrar, Department of General Surgery

Vinay Gounder, Department of General Surgery, Caboolture Hospital, Queensland, Australia

Consultant surgeon, Department of General Surgery


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