PERITONITE OR DEBUT OF DIABETES MELLITUS

Peritonitis is a common complication in pediatric surgery. It can occur not only in acute surgical pathology, but also in diseases of the general pediatric profile, for example, in diabetes mellitus. Quite often just the peritonitis is the manifestation of diabetes mellitus. However, when there is a syndrome of the “acute” abdomen, “stressful” hyperglycemia may occur, which is aimed at maintaining the vital activity of the body. Determination the level of blood glucose fails to provide an opportunity to differentiate them. There is always a risk of diagnostic errors.

Prelouc I.N., Leiderman I.N., Nikolenko A.V. Stress hyperglycemia in critical conditions - the clinical significance and a new method of correction. Infekcii v hirurgii. 2011; 04: 43-46. (in Russian)

Leiderman I.N. The syndrome of multiple organ failure (MOF). Metabolic basics. Lecture. Vestnik intensivnoi terarii. 1999; 2. (in Russian)

Thorell A, Nygren J & Ljungqvist O. Insulin resistance: a marker of surgical stress. Curr Opin Clin Nutr Metab Care.1999; 21: 69-78.

McCowen K.C., Malhotra A., Bistrian B.R. Stress-induced hyperglycaemia. Crit Care Clin.2001; 17: 107-24.

Rudnev V.A. the Clinical significance and possible ways of correction of hyperglycemia in critical conditions. Cons. Med. 2006; 8 (7): 54-61. (in Russian)

Zorik V.V., Shaposhnikov V.I., Proskuryakov, I.G., Zorin, S.A. Treatment of acute diseases of abdominal cavity organs with concomitant diabetes mellitus. Kubanskii nauchnii madicinskii vestnik. 2013; 03: 78-80. (in Russian)