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Missed case of pancreatogenic diabetes diagnosed using ultrasound
M Deyananda Chakravarthy1, Prabha Thangaraj2, S Saraswathi1
1 Department of Radiology, Trichy SRM Medical College Hospital and Research Centre, Trichy, Tamil Nadu, India
2 Department of Community Medicine, Trichy SRM Medical College Hospital and Research Centre, Trichy, Tamil Nadu, India
Correspondence Address:
S Saraswathi,
Department of Radiology, Trichy SRM Medical College Hospital and Research Centre, Trichy - 621 105, Tamil Nadu
India
 Source of Support: None, Conflict of Interest: None
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Nonalcoholic pancreatogenic diabetes mellitus (type 3c DM) is an often-misdiagnosed entity usually seen in young men of tropical countries. Although most of the patients present with abdominal pain and symptoms of exocrine pancreatic insufficiency, there is still a subset that does not present with these classical symptoms, which emphasizes the need for special diagnostic considerations. The significance of identifying this subset of diabetic lies not only in the change in management of the disease but also in early detection for pancreatic carcinoma that is more common among those patients. In our case, ultrasound with X-ray played a vital role in diagnosis, prompting us to consider it as an essential part of the investigation panel in all newly diagnosed nonobese diabetic individuals.
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