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