Hypermagnesemia Accompanied with Colonic Perforation in a Hemodialysis Patient
نویسندگان
چکیده
We report a case of a chronic hemodialysis patient who developed hypermagnesemia due to an overdose of magnesium-containing laxative and paralytic ileus resulting in colonic perforation. Despite intravenous calcium infusion and daily hemodialysis, the patient developed ischemic colitis and intestinal perforation. Colonic perforation accompanied with hypermagnesemia in hemodialysis patients has rarely been reported. This case suggests that hypermagnesemia should be considered in renal failure patients as this can result in life-threatening events despite prompt treatment.
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Severe Symptomatic Hypermagnesemia Associated with Over-the-Counter Laxatives in a Patient with Renal Failure and Sigmoid Volvulus
Hypermagnesemia is an uncommon but a potentially serious clinical condition. Over-the-counter magnesium containing products are widely used as antacids or laxatives. Although generally well tolerated in patients with normal renal function, their unsupervised use in the elderly can result in severe symptomatic hypermagnesemia, especially in those patients with concomitant renal failure and bowel...
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Hidenori Matsuo, MD, Hidaka Hospital, 886 Nakao machi, Takasaki, Gunma 370 (Japan) Dear Sir, It is understood that hypermagnesemia can occur in patients with chronic renal failure during the administration of magnesium even at a pharmacological dose. According to previous reports about hypermagnesemia, which the authors could refer to, the serum calcium level of those patients was decreased or ...
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