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Colonic Pseudo-Obstruction and Severe Hypokalemia in an Anuric Diabetic Patient on Hemodialysis: Case Report and Review of the Literature

Igor Kovačević
Siniša Šefer
Iva Ratković-Gusić
Vesna Degoricija
Janko Szavits-Nossan

Abstract

Hypokalemia is a rare condition in the end-stage renal disease patients on hemodialysis, and especially in those with no residual diuresis. If hypokalemia occurs, it is usually transient and mostly associated with gastrointestinal loss of potassium (massive diarrheal stools), or appears immediately after hemodialysis with the use of dialysis solutions with potassium concentrations lower than 2 mmol/L. The aim of this report is to present a case of a female diabetic patient on hemodialysis with permanent severe hypokalemia associated with chronic colonic pseudo-obstruction and secretory diarrhea, and to point to the possible rare causes of permanent hypokalemia in anuric patients with end-stage renal disease as well as to the causal relations of persistent hypokalemia with changes in different organ systems.

Keywords

Intestinal pseudo-obstruction - etiology; Intestinal pseudo-obstruction - diagnosis; Intestinal pseudo-obstruction - therapy; Hypokalemia - etiology; Chronic diseases - therapy; Risk factors; Case report

Hrčak ID:

14062

URI

https://hrcak.srce.hr/14062

Publication date:

1.9.2006.

Article data in other languages: croatian

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