SHORT REPORTSMetabolic hyperglycemic emergencies with acute pancreatitis in a child with known insulin-dependent diabetes mellitusKoul, Pulin B.; Sussmane, Jeffrey B.Author Information Division of Critical Care Pediatrics, Miami Children's Hospital, Miami, Florida, USA Correspondence and requests for reprints to Pulin B. Koul, MB, MD, 8267 SW, 128 St, ♯218, FL 33156, USA e-mail: [email protected] Received 21 January 2005 Accepted 30 August 2005 European Journal of Emergency Medicine: December 2005 - Volume 12 - Issue 6 - p 309-311 Buy Abstract The combined clinical and biochemical profile of diabetic ketoacidosis, hyperglycemic hyperosmolar non-ketotic syndrome, complicated by acute pancreatitis, in an 11-year-old with established insulin-dependent diabetes mellitus, is presented. The management requires diligent correction of dehydration and hyperglycemia, while monitoring neurological status and blood chemistry. It is imperative to monitor and avoid potentially fatal complications of the combined entity, namely, cerebral edema, thromboembolism, acute respiratory distress syndrome and rhabdomyolysis. Excluding acute pancreatitis in the face of persistent abdominal pain in this setting is emphasized. © 2005 Lippincott Williams & Wilkins, Inc.