Severe Complication of Iatrogenic Sodium Phosphate Enema Overdose: Acute Kidney Injury

Koyuncu S., Tutuş B., Akgün H., Koçyiğit İ., Sipahioglu M., Oymak O., ...More

TURKISH JOURNAL OF NEPHROLOGY, vol.30, no.3, pp.243-246, 2021 (ESCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 30 Issue: 3
  • Publication Date: 2021
  • Doi Number: 10.5152/turkjnephrol.2021.4755
  • Journal Name: TURKISH JOURNAL OF NEPHROLOGY
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.243-246
  • Keywords: Sodium phosphate enema, colonoscopy, acute kidney injury
  • Erciyes University Affiliated: Yes

Abstract

Sodium phosphate-based enema preparations are low-volume, hyperosmotic agents commonly used in bowel preparation for sigmoidoscopy/colonoscopy and surgical operation. Although generally safe and well tolerated in adults, severe metabolic complications have been reported with use. The patient in this case report was admitted to the general surgery department with complaints of nausea, vomiting, and abdominal pain after oral sodium phosphate solution. After clinical evaluation, hemodialysis was started for acute kidney injury (AKI). Clinicians should be alert using sodium phosphate solution for bowel cleansing before sigmoidoscopy/colonoscopy and surgical operation, in terms of acute kidney damage and electrolyte imbalance.