{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T13:21:10Z","timestamp":1783948870198,"version":"3.55.0"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T00:00:00Z","timestamp":1752451200000},"content-version":"vor","delay-in-days":13,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Small bowel ischaemia, though rare in diabetic ketoacidosis, is a life-threatening condition marked by severe abdominal pain disproportionate to physical findings, potentially progressing to peritonitis and shock if untreated. A 54-year-old male with type 1 diabetes and alcohol dependence presented to the emergency department with persistent abdominal and back pain. He had severe metabolic acidosis, hyperglycaemia, and an elevated anion gap, consistent with diabetic ketoacidosis. A computed tomography scan showed thickening and decreased enhancement of the distal small bowel and ascending colon walls, indicating small bowel ischaemia. Treatment involved restoring blood supply to the ischaemic bowel and surgical resection of necrotic tissue. The patient stabilized postsurgery and was weaned from vasopressors and extubated 2\u00a0days later. Renal replacement therapy ceased after 8\u00a0days, and he eventually returned to normal life. This case emphasizes the importance of investigating persistent severe abdominal pain in patients with diabetic ketoacidosis to identify critical underlying conditions.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf498","type":"journal-article","created":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T12:33:52Z","timestamp":1752496432000},"source":"Crossref","is-referenced-by-count":1,"title":["Small bowel ischaemia\u2014a rare complication of diabetic ketoacidosis: a case report"],"prefix":"10.1093","volume":"2025","author":[{"given":"Hwan Il","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Pulmonology, Chung-Ang University Gwangmyeong Hospital , 110, Deokan-ro, Gwangmeyong-si, Gyeonggi-do 14353 ,","place":["Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyoung Won","family":"Yoon","sequence":"additional","affiliation":[{"name":"Division of Critical Care, Department of Surgery, Chung-Ang University Gwangmyeong Hospital , 110, Deokan-ro, Gwangmeyong-si, Gyeonggi-do 14353 ,","place":["Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyo Jin","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Chung-Ang University Gwangmyeong Hospital , 110, Deokan-ro, Gwangmeyong-si, Gyeonggi-do 14353 ,","place":["Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7059-1008","authenticated-orcid":false,"given":"Daun","family":"Jeong","sequence":"additional","affiliation":[{"name":"Division of Critical Care Medicine, Department of Emergency Medicine, Chung-Ang University Gwangmyeong Hospital , 110, Deokan-ro, Gwangmeyong-si, Gyeonggi-do 14353 ,","place":["Republic of Korea"]},{"name":"Department of Emergency Medicine, Chung-Ang University College of Medicine , 84, Heukseok-ro, Dongjak-gu, Seoul 06974 ,","place":["Republic of 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