Mahmud 32 year old from western Ghouta , he was in Lebanon from two years ago he was almost well before. two months ago he was suffering from weight loss, fatigue, low grade fever, abdominal pain, nausea, poly urea and anorexia. He made many consultations and visited emergency department in one Lebanese hospital three times without any improvement .He visited Ghirass AlKhair polyclinic in Bekaa .
We do emergency physical examination, Lab tests and echography ,The patient has Diabetic Ketoacidosis and spleen abscess , Our Internal medicine start treatment in the center and our General Surgeon made operation and spleenectomy after that the patient is very well and continue treatment with insulin.

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