J Korean Geriatr Soc.  2013 Jun;17(2):95-98. 10.4235/jkgs.2013.17.2.95.

Newly Diagnosed Diabetes Mellitus With Pancreatic Cancer Manifested as Hyperglycemic Hyperosmolar State

• Kwon TH
• Kim MS
• Jeon JH
• Jeong DI
• Yun SS
• Lee YK

• KMID: 2015219
• DOI: http://doi.org/10.4235/jkgs.2013.17.2.95

Abstract

Here, we report a case of newly diagnosed diabetes, with concurrent pancreatic cancer manifested as hyperglycemic crisis, and aggravated by urinary tract infection. We summarize the initial clinical manifestations and pertinent laboratory, radiologic, and clinical findings in an elderly patient with hyperglycemic emergency. A review of the documents involving pancreatic tumors and hyperglycemic hyperosmolar state, which is an acute complication of diabetes mellitus, is presented. In the absence of other identifiable conditions, it is reasonable to speculate that some factor (or factors) produced by the tumor had a role in the metabolic decompensation. In addition, this discussion should be more carefully considered in the aged people group.

Keyword

Diabetes mellitus; Hyperglycemic hyperosmolar state; Pancreatic neoplasms

MeSH Terms

Aged
Diabetes Mellitus
Emergencies
Humans
Pancreatic Neoplasms
Urinary Tract Infections