A Case of Acute Aluminum Encephalopathy with Intraperitoneal Bladder Rupture Following Aluminum Bladder Irrigation in a Patient with Normal Renal Function.
- Author:
Young Hwan AN
1
;
Sung Gyun KIM
;
Ji Young PARK
;
Gil Su JANG
;
So Yoen KIM
;
Eun Young HONG
;
Jung Sun AN
Author Information
1. Division of Nephrology, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea. imnksk@hallym.or.kr
- Publication Type:Case Report
- Keywords:
Acute aluminum encephalopathy;
Aluminum bladder irrigation;
Bladder perforation;
Deferoxamine
- MeSH:
Abdominal Pain;
Aluminum;
Ascitic Fluid;
Deferoxamine;
Dialysis;
Emergencies;
Female;
Fever;
Hematuria;
Humans;
Hypesthesia;
Hysterectomy;
Laparotomy;
Middle Aged;
Peritonitis;
Renal Dialysis;
Rupture;
Urinary Bladder;
Uterine Cervical Neoplasms
- From:Korean Journal of Medicine
2012;83(2):258-262
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute aluminum intoxication is uncommon in clinical practice but can be fatal. Most cases have been reported in patients with decreased renal function, especially dialysis patients. We describe a case of acute aluminum encephalopathy with intraperitoneal bladder rupture following aluminum bladder irrigation in a patient with normal renal function. A 51-year-old woman with a radical hysterectomy and external irradiation therapy for cervical cancer 15 years earlier was admitted due to gross hematuria. An aluminum intravesical irrigation was performed. After 1 day of intravesical irrigation, abdominal pain and fever developed. Abdominal CT images demonstrated bladder perforation and peritonitis. An emergency laparotomy was performed. Operative findings showed a perforated dome of the bladder with gray colored peritoneal fluids. Two days after the operation, she complained of numbness and pain in the left side of her face. Acute aluminum encephalopathy was diagnosed after excluding infectious, rheumatological, and other vascular causes. She was treated with combined intravenous deferoxamine and hemodialysis.
