DIABETIC KETOACIDOSIS COMPLICATED BY DEEP VEIN THROMBOSIS IN A NEWLY DIAGNOSED PATIENT WITH TYPE 1 DIABETES MELLITUS WITH UN

Authors

  • Waralee Chatchomchuan
  • Yotsapon Thewjitcharoen
  • Veekij Veerasomboonsin
  • Sirinate Krittiyawong
  • Thep Himathongkam

Keywords:

deep vein thrombosis, COVID-19, type 1 diabetes, diabetic ketoacidosis, May-Thurner syndrome

Abstract

CASE
May-Thurner syndrome is a rare vascular condition where the left common iliac vein is compressed by the right common iliac artery, leading to left iliac vein thrombosis. Here, we present a case of diabetic ketoacidosis (DKA) complicated by deep vein thrombosis (DVT) in a patient with type 1 diabetes mellitus with May-Thurner syndrome.

A 41-year-old Thai male with T1D and a recent COVID-19 infection presented with polyuria and significant weight loss. He discontinued insulin treatment for a month and was diagnosed with DKA. Shortly after admission, he developed left lower limb swelling with elevated D-dimer levels. Doppler ultrasound revealed acute DVT in the left common iliac vein with a collateral blood flow, prompting suspicion of extrinsic venous compression including May-Thurner syndrome, later confirmed by CT venography. The follow-up endovascular treatment was planned.

In patients with DKA with lower extremity DVT, consider May-Thurner syndrome as a potential cause alongside the known hypercoagulable state.

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Author Biographies

Waralee Chatchomchuan

Diabetes and Thyroid Center, Theptarin Hospital, Bangkok, Thailand

Yotsapon Thewjitcharoen

Diabetes and Thyroid Center, Theptarin Hospital, Bangkok, Thailand

Veekij Veerasomboonsin

Diabetes and Thyroid Center, Theptarin Hospital, Bangkok, Thailand

Sirinate Krittiyawong

Diabetes and Thyroid Center, Theptarin Hospital, Bangkok, Thailand

Thep Himathongkam

Diabetes and Thyroid Center, Theptarin Hospital, Bangkok, Thailand

References

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Published

2023-11-09

How to Cite

Chatchomchuan, W., Thewjitcharoen, Y., Veerasomboonsin, V. ., Krittiyawong, . S. ., & Himathongkam, T. (2023). DIABETIC KETOACIDOSIS COMPLICATED BY DEEP VEIN THROMBOSIS IN A NEWLY DIAGNOSED PATIENT WITH TYPE 1 DIABETES MELLITUS WITH UN. Journal of the ASEAN Federation of Endocrine Societies, 38(S3), 50. Retrieved from https://asean-endocrinejournal.org/index.php/JAFES/article/view/3317

Issue

Vol. 38 No. S3 (2023): AFES Book of Abstracts (Supplement)

Section

Poster Presentation | Diabetes

License

Copyright (c) 2023 Waralee Chatchomchuan, Yotsapon Thewjitcharoen, Veekij Veerasomboonsin, Sirinate Krittiyawong, Thep Himathongkam

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