Life-threatening hypokalaemia and quadriparesis in a patient with ureterosigmoidostomy
January 2002
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We report quadriparesis as a result of severe hypokalaemia and acidosis in a 50-year-old man who had undergone ureterosigmoidostomy for bladder extrophy 48 years earlier. Aggressive suppletion with intravenous potassium and bicarbonate combined with potassium-sparing diuretics and ACE inhibitors resulted in complete restoration of the serum potassium and resolution of the neurological symptoms. The underlying mechanism as well as the treatment of hypokalaemia and hyperchloraemic metabolic acidosis after ureterosigmoidostomy are briefly discussed.
Keywords
- Male
- Humans
- Middle aged
- Treatment Outcome
- Prognosis
- Severity of Illness Index
- Risk Assessment
- Infusions, Intravenous
- Critical Illness
- Anastomosis, Surgical
- Acidosis, Renal Tubular/complications/diagnosis
- Bicarbonates/administration & dosage
- Bladder Exstrophy/complications/diagnosis/*surgery
- Chlorides/administration & dosage
- Colon, Sigmoid/*surgery
- Hypokalemia/diagnosis/drug therapy/*etiology
- Magnesium Sulfate/administration & dosage
- Potassium/administration & dosage
- Quadriplegia/diagnosis/*etiology/therapy
- Reconstructive Surgical Procedures/*adverse effects/methods
- Ureter/*surgery
Automatically Extracted Terms
- potassium
- patient
- acidosi
- hypokalaemia
- ureterosigmoidostomy
- serum potassium
- serum
- bicarbonate
- urine
- electrolyte abnormalities
- diversion
- complication
- segment
- chloride
- wall abscess
- potassium-sparing diuretics
- l m e
- infection
- hyperchloraemic
- generalised muscle weakness
