Diabetic ketoacidosis as the presenting manifestation of pancreatic adenocarcinoma with cystic features

Tezcan Kaya; Sumeyye Korkmaz; Erdem Vargol; Alper Karacan; Hakan Cinemre

doi:10.1016/j.tjem.2016.05.001

Tezcan Kaya¹, Sumeyye Korkmaz¹, Erdem Vargol², Alper Karacan³, Hakan Cinemre¹

¹Department of Internal Medicine, Sakarya University Faculty of Medicine, Sakarya, Turkey
²Department of Pathology, Sakarya University Training and Research Hospital, Sakarya, Turkey
³Department of Radiology, Sakarya University Faculty of Medicine, Sakarya, Turkey

Keywords: Diabetic ketoacidosis; Pancreatic ductal carcinoma; Cystic neoplasms

Abstract

The common presenting symptoms of pancreatic cancer are abdominal pain, weight loss, and jaundice. Pancreatic adenocarcinoma presenting with diabetic ketoacidosis is a very rare emergent clinical condition. However, pancreatic ductal cystadenocarcinoma presenting with diabetic ketoacidosis was not reported. We describe a 60-year-old man with pancreatic cystadenocarcinoma presenting with diabetic ketoacidosis as the initial manifestation. It must be kept in mind that in diabetic ketoacidosis cases, the precipitating factor may be pancreatic ductal cystadenocarcinoma.