Diabetic Ketoacidosis Masquerading as Rupture Uterus

Abstract

Aim: To report a case of a pregnant patient with unconsciousness who was presented with features of obstetric hemorrhage but was diagnosed with diabetes ketoacidosis. Background: Gestational diabetes mellitus can cause many complications. Of these, diabetic ketoacidosis (DKA) is one. The clinical features of DKA include nausea, vomiting, mild abdominal discomfort, tachycardia, elevated random blood sugars, despite a normal or near normal HbA1c, and presence of urinary ketones. Case description: G2P1L1 with 28 weeks period of gestation who presented clinically similar to abruptio placenta, underwent cesarean section, but had coexisting DKA. Conclusion: When a patient presents with unconsciousness, the tendency of an obstetrician is to consider an obstetric diagnosis, whereas a coexisting metabolic condition which should not be neglected.