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J.W. van Bekkum, D.J. Bac (Dirk Jan), I.E. Nienhuis, A. Dees and P.W. de Leeuw (Peter)

2002

Life-threatening hypokalaemia and quadriparesis in a patient with ureterosigmoidostomy

Publication

Publication

The Netherlands Journal of Medicine

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.

Additional Metadata
Keywords Acidosis, Renal Tubular/complications/diagnosis, Anastomosis, Surgical, Bicarbonates/administration & dosage, Bladder Exstrophy/complications/diagnosis/*surgery, Chlorides/administration & dosage, Colon, Sigmoid/*surgery, Critical Illness, Humans, Hypokalemia/diagnosis/drug therapy/*etiology, Infusions, Intravenous, Magnesium Sulfate/administration & dosage, Male, Middle aged, Potassium/administration & dosage, Prognosis, Quadriplegia/diagnosis/*etiology/therapy, Reconstructive Surgical Procedures/*adverse effects/methods, Risk Assessment, Severity of Illness Index, Treatment Outcome, Ureter/*surgery
Persistent URL hdl.handle.net/1765/9923
Journal The Netherlands Journal of Medicine
Organisation Erasmus MC: University Medical Center Rotterdam
Citation
van Bekkum, J. W., Bac, D. J., Nienhuis, I. E., Dees, A., & de Leeuw, P. (2002). Life-threatening hypokalaemia and quadriparesis in a patient with ureterosigmoidostomy. The Netherlands Journal of Medicine. Retrieved from http://hdl.handle.net/1765/9923
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