{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T12:13:03Z","timestamp":1789560783274,"version":"build-2803163510"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 2","license":[{"start":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T00:00:00Z","timestamp":1776384000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>A 44-year-old female, known case of hypertension and hypothyroidism, presented with severe epigastric pain and vomiting. Laboratory evaluation showed significant hyperglycemia (440 mg\/dL), ketonuria, and metabolic acidosis (pH \u2013 7.3, HCO \u2013 10.6 mEq\/L), consistent with Diabetic Ketoacidosis. Amylase and lipase levels were elevated. Imaging showed acute necrotising pancreatitis with 70%\u201380% necrosis (modified Computed tomography severity score inde \u00d7 8\/10). The patient was shifted to the intensive care unit, where blood sugar levels and hypertension were strictly controlled. The patient was vitally stable and had shown significant clinical improvement. She was discharged on injectable insulin, oral antihypertensive and hypothyroid medication and is on regular follow-up.<\/jats:p>","DOI":"10.4103\/aam.aam_735_25","type":"journal-article","created":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T07:00:18Z","timestamp":1776409218000},"page":"S412-S414","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Hyperglycemia with Ketoacidosis following Acute Necrotizing Pancreatitis: A Case Suggestive of Pancreatogenic Diabetes"],"prefix":"10.4103","volume":"25","author":[{"given":"Ponvijaya","family":"Yadav","sequence":"first","affiliation":[{"name":"Department of General Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D.Y. Patil Vidyapeeth, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avuthu","family":"Hemanjali","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D.Y. Patil Vidyapeeth, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Divam Prakash","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adheesh","family":"Phalke","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, DY Patil Medical College and Hospital, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,17]]},"reference":[{"key":"R2-20260916","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1159\/000329188","article-title":"Pancreatogenic diabetes: Special considerations for management","volume":"11","author":"Cui","year":"2011","journal-title":"Pancreatology"},{"key":"R3-20260916","doi-asserted-by":"crossref","first-page":"311","DOI":"10.2147\/DMSO.S99701","article-title":"Management of pancreatogenic diabetes: Challenges and solutions","volume":"9","author":"Makuc","year":"2016","journal-title":"Diabetes Metab Syndr Obes"},{"key":"R4-20260916","first-page":"154","article-title":"Diabetic ketoacidosis as a rare presentation of acute pancreatitis: A case report","volume":"16","author":"Shrestha","year":"2022","journal-title":"J Med Case Rep"},{"key":"R5-20260916","first-page":"1031","article-title":"Chronic pancreatitis-related diabetes: It's time to recognize the third type of diabetes","volume":"36","author":"Rickels","year":"2013","journal-title":"Diabetes Care"},{"key":"R6-20260916","first-page":"bcr2015211956","article-title":"Acute necrotizing pancreatitis complicated by diabetic ketoacidosis","author":"Hsu","year":"2015","journal-title":"BMJ Case Rep 2015"},{"key":"R7-20260916","doi-asserted-by":"crossref","first-page":"226 37","DOI":"10.1016\/S2468-1253(16)30106-6","article-title":"Type 3c (pancreatogenic) diabetes mellitus secondary to chronic pancreatitis and pancreatic cancer","volume":"1","author":"Hart","year":"2016","journal-title":"Lancet Gastroenterol Hepatol"},{"key":"R8-20260916","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1038\/ejcn.2016.127","article-title":"The nutritional management of type 3c (pancreatogenic) diabetes in chronic pancreatitis","volume":"71","author":"Duggan","year":"2017","journal-title":"Eur J Clin Nutr"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_735_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T12:00:56Z","timestamp":1789560056000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_735_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,17]]},"references-count":7,"journal-issue":{"issue":"Suppl 2","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_735_25","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,17]]},"assertion":[{"value":"2025-11-15","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-16","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}