Superior Mesenteric Artery Syndrome Causing Normal pH Diabetic Ketoacidosis in Type 1 Diabetes

Singh Sk, Shweta Bhandari, Vivek H Patel, Mannmath Nath, Saket kant, Naresh bansal, and Agrawal NK

Diabetic ketoacidosis may be presenting feature of Type 1 Diabetes Mellitus. Occasionally normal pH DKA is seen with significant electrolyte loss following vomiting. A case of 20-year-old boy presenting with osmotic symptoms and recurrent vomiting for 1 month with postprandial upper abdominal pain is reported here. Investigation suggested Superior mesenteric artery (SMA) syndrome as underlying cause of vomiting in this case. This case report merits publication to highlight rare occurrence of one of the related causes of persistent vomiting complicating DKA in Type 1DM.