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

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

TURKISH JOURNAL OF NEPHROLOGY, cilt.30, sa.3, ss.243-246, 2021 (ESCI) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 30 Sayı: 3
  • Basım Tarihi: 2021
  • Doi Numarası: 10.5152/turkjnephrol.2021.4755
  • Dergi Adı: TURKISH JOURNAL OF NEPHROLOGY
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.243-246
  • Anahtar Kelimeler: Sodium phosphate enema, colonoscopy, acute kidney injury, RENAL-FAILURE, SEVERE HYPERPHOSPHATEMIA, BOWEL PREPARATION, HYPOCALCEMIA, COLONOSCOPY, TETANY
  • Erciyes Üniversitesi Adresli: Evet

Özet

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.