Severe hyperkalemia following ileostomy not colostomy in a patient undergoing chronic hemodialysis
نویسندگان
چکیده
In patients with end-stage renal disease (ESRD), the intestinal tract may assume an accessory potassium (K) excretory role in the face of declining renal excretory function. Here, we report the case of a patient with ESRD who developed severe hyperkalemia following ileostomy not colostomy. A 6△-year-old woman undergoing hemodialysis began developing severe hyperkalemia after ileostomy. Previously, she had successfully undergone resection and colostomy of the transverse colon. The pre-dialysis serum K level was normal. Our present case demonstrates the importance of intestinal K secretion, especially in the colon, for maintaining hemostasis in patients with ESRD. doi:10.11482/KMJ-E41(2)65 (Accepted on October 23, 2015)
منابع مشابه
Severe hyperkalemia following colon diversion surgery in a patient undergoing chronic hemodialysis: a case report
INTRODUCTION Potassium (K+) homeostasis in healthy subjects is maintained mainly by urinary excretion of K+. In patients with end-stage renal disease, the intestinal tract might assume an accessory K+ excretory role in the face of declining renal excretory function. Here, we report the case of a patient with end-stage renal disease who developed severe hyperkalemia following colon diversion sur...
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