Acute starvation ketoacidosis in pregnancy with severe hypertriglyceridemia: A case report.

BACKGROUND

Pregnant women are more prone to ketosis due to the relative insulin resistance, accelerated lipolysis and increased free fatty acids.

UNASSIGNED

We report a pregnant woman with hyperlipidemia, who experienced severe metabolic acidosis after a short period of starvation.

UNASSIGNED

Based on her clinical symptoms, exclusion diagnosis and therapeutic diagnosis, her condition was diagnosed as starvation ketoacidosis.

METHODS

An emergency caesarean section under general anesthesia was implemented 2 hours after her admission. The metabolic acidosis was treated with fluid resuscitation using compound sodium lactate, bicarbonate, and 5% dextrose together with insulin 6U.

RESULTS

Both mother and baby were discharged clinically well.

CONCLUSIONS

Starvation ketoacidosis may happen in special patient who was in pregnancy and with severe hypertriglyceridemia, after just one day fasting and vomiting.