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An unusually acute abdominal pain: A case report
Ya-Chen Wang1, Jian-Feng Zhang, Hong-Yuan Shen
1Department of Gastroenterology, Affiliated Hospital of Nantong University, Nantong, Jiangsu Province, China.
Medicine
|June 17, 2025
Summary
This case report details a rare instance of small intestinal obstruction caused by a bezoar in a patient with diabetes ketoacidosis. Prompt diagnosis and intervention led to successful recovery and symptom resolution.
Area of Science:
- Gastroenterology
- Endocrinology
- Surgical Case Reports
Background:
- Acute abdominal pain presents a complex diagnostic challenge with diverse etiologies.
- This report focuses on a rare case of small intestinal obstruction secondary to a bezoar, complicated by diabetic ketoacidosis.
Purpose of the Study:
- To present a unique case of combined bezoar-induced small intestinal obstruction and diabetic ketoacidosis.
- To highlight the importance of considering rare and multifactorial causes of acute abdominal pain.
Main Methods:
- A 58-year-old female presented with acute upper abdominal pain.
- Diagnostic workup included blood glucose, ketone body, and pH measurements, alongside enhanced abdominal computed tomography (CT).
- Treatment involved hypoglycemic management, correction of metabolic disturbances, and laparoscopic bezoar removal.
Main Results:
- The patient was diagnosed with small intestinal obstruction due to a bezoar, co-occurring with diabetic ketoacidosis.
- Successful surgical intervention and medical management resulted in symptom resolution.
- The patient was discharged in good condition and remained symptom-free post-discharge.
Conclusions:
- Acute abdominal pain necessitates a thorough diagnostic approach, integrating patient history, physical examination, and imaging.
- Clinicians must remain vigilant for uncommon conditions and the possibility of multiple contributing factors to abdominal pain.
- Timely and comprehensive management is crucial for favorable outcomes in complex cases.
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