Abstract

A 31-year-old man with severe abdominal pain and type 1 diabetic ketoacidosis (DKA) is the subject of this case report. His blood glucose level was 17.58 mmol/L, his blood pH was 7.286, his urine ketone body content was 3+, and the clinical examination revealed no signs of acute abdominal diseases like pancreatitis at the time of admission. The patient’s acidosis was quickly resolved with active treatment, but their abdominal pain persisted. The urinary ketone body was finally eliminated after seven days of continuous insulin pump treatment, and the abdominal pain went away as well. This demonstrates the significance of removing the ketone body from the urine. DKA with stomach torment as the primary side effect is moderately uncommon in the centre. At the moment, it is unclear how DKA causes abdominal pain, but it may be related to how ketosis metabolites stimulate the gastrointestinal tract. It’s important to note that this case has recurrent episodes and persistent severe abdominal pain.