Portal de Periódicos da CAPES

Cétose de jeûne chez une femme allaitante

2015; Elsevier BV; Volume: 36; Issue: 12 Linguagem: Inglês

10.1016/j.revmed.2015.03.011

1768-3122

Dr Chloé Monnier, Tiphaine Goulenok, J. Allary, Virginie Zarrouk, B. Fantin,

Bariatric Surgery and Outcomes

Bovine ketosis is a rare cause of metabolic acidosis. It is a starvation ketosis that appears in lactating woman.A 29-year-old woman had a previous gastric surgery one month ago while breastfeeding her 6-month child. She presented to emergency with dyspnea, fatigue, weight loss and anorexia. The explorations revealed a serious metabolic acidosis with a high anion gap, for which all other causes have been eliminated.A restrictive diet in lactating patients is a major risk of ketosis or bovine ketosis. Medico-surgical treatment of obesity during lactation seems unreasonable. Breastfeeding should be systematically sought before a medical and surgical management of obesity. With the spread of bariatric surgery, starvation ketosis is a cause of metabolic acidosis not to ignore.