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Case Reports in Endocrinology
Volume 2012, Article ID 526041, 4 pages
Case Report

Multiple Intestinal Intussusceptions as a Complication of Severe Hyperglycemia in a Patient with Diabetic Ketoacidosis

1Department of Medicine, Medical Education, Mount Carmel Health, 793 West State Street, Columbus, OH 43222, USA
2Division of Critical Care Medicine, Mount Carmel Health, Columbus, OH 43222, USA
3Department of Medicine, Nassau University Medical Center, East Meadow, NY 11554, USA

Received 24 April 2012; Accepted 16 August 2012

Academic Editors: R. Murray and A. Sahdev

Copyright © 2012 Pooja Raghavan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Intussusception in adults is a rare phenomenon, occurring in approximately 1 in 30,000 hospital admissions annually. When it does occur, the majority of cases involve an organic lesion serving as a lead point for intussusception, such as tumors or postoperative adhesions. In a small percentage of cases, a lead point is not found, and intussusception is thought to be idiopathic or secondary to a disease process contributing to dysrhythmic peristalsis of the gastrointestinal tract. A few cases of functional intussusception have been reported as being secondary to severe hyperglycemia and metabolic derangements, including metabolic acidosis and hyperkalemia, by causing impaired gastrointestinal motility. We present a case of a 23-year-old Caucasian male who presented with severe hyperglycemia and diabetic ketoacidosis. Imaging of the abdomen revealed three intussusceptions involving the small intestine, which were easily reduced manually during exploratory laparotomy.