Hypermagnesemia Accompanied with Colonic Perforation in a Hemodialysis Patient.
10.3349/ymj.2013.54.3.797
- Author:
Hye Eun YOON
1
;
Young Wook KIM
;
Kyung Sun HA
;
Eun Hui SIM
;
Seong Woo GO
;
Seok Joon SHIN
Author Information
1. Division of Nephrology, Department of Internal Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. imkidney@catholic.ac.kr
- Publication Type:Case Reports ; Research Support, Non-U.S. Gov't
- Keywords:
Hypermagnesemia;
paralytic ileus;
colonic perforation;
hemodialysis
- MeSH:
Colitis, Ischemic/*chemically induced/diagnosis/surgery;
Constipation/*drug therapy/surgery;
Female;
Humans;
Intestinal Perforation/*chemically induced/surgery;
Laxatives/adverse effects/*poisoning;
Magnesium/*poisoning;
Middle Aged;
*Renal Dialysis
- From:Yonsei Medical Journal
2013;54(3):797-800
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
