Case Report
Al-Ani AH, Hebbard GS, Ajani A
Abstract
This case report details the complex management of gastroparesis in a 23 year old female with long standing type I diabetes mellitus (T1DM). Despite substantial efforts to control her diabetes and gastrointestinal symptomology, the disease course prevailed and a vicious cycle ensued of unstable blood glucose levels and gut instability. Her gastroparesis deteriorated despite meticulous evidence-based medical and surgical management. The patient’s demise eventuated from acute colonic dilatation requiring pancolectomy followed by acute gastric dilatation that ultimately resulted in her death.