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Acute starvation ketoacidosis in pregnancy with severe hypertriglyceridemia: A case report.

Abstract Pregnant women are more prone to ketosis due to the relative insulin resistance, accelerated lipolysis and increased free fatty acids.
PMID
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Authors

Mayor MeshTerms

Hypertriglyceridemia

Pregnancy Complications

Starvation

Keywords
Journal Title medicine
Publication Year Start




PMID- 29742696
OWN - NLM
STAT- MEDLINE
DCOM- 20180515
LR  - 20180515
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 19
DP  - 2018 May
TI  - Acute starvation ketoacidosis in pregnancy with severe hypertriglyceridemia: A
      case report.
PG  - e0609
LID - 10.1097/MD.0000000000010609 [doi]
AB  - RATIONALE: Pregnant women are more prone to ketosis due to the relative insulin
      resistance, accelerated lipolysis and increased free fatty acids. PATIENT
      CONCERNS: We report a pregnant woman with hyperlipidemia, who experienced severe 
      metabolic acidosis after a short period of starvation. DIAGNOSES: Based on her
      clinical symptoms, exclusion diagnosis and therapeutic diagnosis, her condition
      was diagnosed as starvation ketoacidosis. INTERVENTIONS: An emergency caesarean
      section under general anesthesia was implemented 2 hours after her admission. The
      metabolic acidosis was treated with fluid resuscitation using compound sodium
      lactate, bicarbonate, and 5% dextrose together with insulin 6U. OUTCOMES: Both
      mother and baby were discharged clinically well. LESSONS: Starvation ketoacidosis
      may happen in special patient who was in pregnancy and with severe
      hypertriglyceridemia, after just one day fasting and vomiting.
FAU - Hui, Li
AU  - Hui L
AD  - Department of Intensive Care Unit of Gynecology and Obstetrics.
FAU - Shuying, Li
AU  - Shuying L
AD  - Department of Anesthesiology, West China Second Hospital of Sichuan University,
      Key Laboratory of Birth Defects and Related Diseases of Women and Children,
      Sichuan University, Ministry of Education, Chengdu, China.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Adult
MH  - Cesarean Section/methods
MH  - Female
MH  - Fetal Monitoring/methods
MH  - Fluid Therapy
MH  - Humans
MH  - *Hypertriglyceridemia/blood/complications
MH  - Ketosis/etiology/metabolism/therapy
MH  - Pregnancy
MH  - *Pregnancy Complications/blood/therapy
MH  - Pregnancy Outcome
MH  - Severity of Illness Index
MH  - *Starvation/complications/metabolism
MH  - Treatment Outcome
MH  - Vomiting/complications
EDAT- 2018/05/10 06:00
MHDA- 2018/05/16 06:00
CRDT- 2018/05/10 06:00
PHST- 2018/05/10 06:00 [entrez]
PHST- 2018/05/10 06:00 [pubmed]
PHST- 2018/05/16 06:00 [medline]
AID - 10.1097/MD.0000000000010609 [doi]
AID - 00005792-201805110-00015 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 May;97(19):e0609. doi: 10.1097/MD.0000000000010609.