Hyponatremia with Non-Cardiogenic Pulmonary edema, Seizure and Rhabdomyolysis after Bowel Preparation.
- Author:
Myung Su SON
1
;
Heo Young KIM
;
Yong Hun KIM
;
Won Hee KIM
;
So Young LEE
;
Gi Youn HONG
;
Hoon JEONG
;
Yong Gu LEE
;
Dong Ho YANG
;
Hyung Jong KIM
Author Information
1. Department of Internal Medicine, College of Medicine, Pochon CHA University, Sungnam, Korea. khj04@cha.ac.kr
- Publication Type:Case Report
- Keywords:
Hyponatremia;
Pulmonary edema;
Seizure;
Rhabdomyolysis
- MeSH:
Adult;
Colon;
Colonoscopy;
Colorectal Surgery;
Eating;
Headache;
Humans;
Hyponatremia;
Male;
Nausea;
Phosphates;
Pulmonary Edema;
Rectum;
Rhabdomyolysis;
Seizures;
Sodium;
Vomiting
- From:Korean Journal of Nephrology
2008;27(2):224-228
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Oral sodium phosphate is commonly used to evacuate the colon and rectum before colonoscopy or colorectal surgery. However, this substance is known to cause electrolyte abnormalities including hyponatremia. The hyponatremic patient usually presents with headache, nausea, vomiting and confusion, but can also present with non-cardiogenic pulmonary edema, seizure and rhabdomyolysis. However, non-cardiogenic pulmonary edema, seizure and rhabdomyolysis caused by hyponatremia associated with bowel preparation have only rarely been reported. We report a case of severe complications including non-cardiogenic pulmonary edema, seizure and rhabdomyolysis associated with hyponatremia following ingestion of sodium phosphate for colonoscopy in a 41-year-old healthy male.
