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

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Abstract

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.

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