Evidence map›Paper›PMID 40769899›Full record

ArticleInternal medicine (Tokyo, Japan)2026

Diabetic Ketoacidosis Associated with Non-occlusive Mesenteric Ischemia in a Subject with Type 2 Diabetes Mellitus.

Tomohiko Kimura, Masato Kubo, Kaio Takahashi, Fuminori Tatsumi, Yukino Katakura, Masashi Shimoda, Shuhei Nakanishi, Tomoatsu Mune, Kohei Kaku, Hideaki Kaneto

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Tomohiko KimuraDepartment of Diabetes, Endocrinology and Metabolism, Kawasaki Medical School, Japan.
Masato KuboDepartment of Diabetes, Endocrinology and Metabolism, Kawasaki Medical School, Japan.
Kaio TakahashiDepartment of Diabetes, Endocrinology and Metabolism, Kawasaki Medical School, Japan.
Fuminori TatsumiDepartment of Diabetes, Endocrinology and Metabolism, Kawasaki Medical School, Japan.
Yukino KatakuraDepartment of Diabetes, Endocrinology and Metabolism, Kawasaki Medical School, Japan.
Masashi ShimodaDepartment of Diabetes, Endocrinology and Metabolism, Kawasaki Medical School, Japan.
Shuhei NakanishiDepartment of Diabetes, Endocrinology and Metabolism, Kawasaki Medical School, Japan.
Tomoatsu MuneDepartment of Diabetes, Endocrinology and Metabolism, Kawasaki Medical School, Japan.
Kohei KakuDepartment of Diabetes, Endocrinology and Metabolism, Kawasaki Medical School, Japan.
Hideaki KanetoDepartment of Diabetes, Endocrinology and Metabolism, Kawasaki Medical School, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An 81-year-old man was brought to our institution because of general fatigue, loss of appetite, and decreased consciousness. Based on the clinical findings, the patient was diagnosed with diabetic ketoacidosis (DKA) and started on insulin therapy. Two days after normalization of the ketone body level, he developed a high fever and abdominal pain. Imaging findings revealed a necrotic lesion in the intestine, and surgery was performed. Macroscopic findings showed a necrotic lesion and no thrombi. Finally, the patient was diagnosed with non-occlusive mesenteric ischemia (NOMI). We should be aware of the possibility of NOMI in subjects with DKA, especially those who have abdominal pain even after normalization of ketone body levels.

Indexed as

Diabetes Mellitus, Type 2Diabetic KetoacidosisIschemiaMesenteric IschemiaVascular DiseasesAged, 80 and overHumansMaledehydrationdiabetic ketoacidosisintestine necrosisnon-occlusive mesenteric ischemiatype 2 diabetes mellitus

Identifiers

PMID40769899
PMCPMC13019018

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.