Clinical Practice and Cases in Emergency Medicine (Aug 2020)

Tubelight Adrenals in Diabetic Ketoacidosis

  • Prakrati Yadav,
  • Akhilesh Kumar,
  • Rohit Mathur,
  • Pawan Garg,
  • Maya Gopalakrishnan,
  • Mahendra Kumar Garg

DOI
https://doi.org/10.5811/cpcem.2020.6.47617
Journal volume & issue
Vol. 4, no. 3

Abstract

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Case Presentation: We report a patient with the triad of diabetic ketoacidosis, hypertriglyceridemia, and acute pancreatitis associated with computed tomography hypoperfusion complex and adrenal hyperdensity on abdominal imaging – an association not previously reported in diabetic ketoacidosis. Discussion: Presence of computed tomography hypoperfusion complex with hyperdense ‘Tubelight adrenals’ in a patient with diabetic ketoacidosis is associated with poor prognosis and thus serves to guide clinicians towards early and aggressive management.