Tubelight Adrenals in Diabetic Ketoacidosis

Clin Pract Cases Emerg Med. 2020 Aug;4(3):482-484. doi: 10.5811/cpcem.2020.6.47617.


Case presentation: We report a patient with the triad of diabetic ketoacidosis, hypertriglyceridemia, and acute pancreatitis associated with computed tomography hypoperfusion complex and adrenal hyperdensity on abdominal imaging - an association not previously reported in diabetic ketoacidosis.

Discussion: Presence of computed tomography hypoperfusion complex with hyperdense 'Tubelight adrenals' in a patient with diabetic ketoacidosis is associated with poor prognosis and thus serves to guide clinicians towards early and aggressive management.