Hyponatremia, hyperkalemia and hypercalcemia after ileal conduit diversion.
In all types of urinary diversion interchange of electrolytes between blood and the urine in the lumen of the conduit may occur, resulting in electrolyte abnormalities. We describe a 67-year-old woman who developed hyponatremia, hyperkalemia and hypercalcemia following ureteroileocutaneostomy. The hyperkalemia and hypercalcemia were successfully treated with sodium polystyrene sulfonate.
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Department of Internal Medicine, Bronovo Hospital, The Hague, The Netherlands.
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D001918:Brachytherapy; D002278:Carcinoma in Situ / Q000097:blood / Q000532:radiotherapy / Q000601:surgery*; D002295:Carcinoma, Transitional Cell / Q000097:blood / Q000532:radiotherapy / Q000601:surgery*; D002588:Cesium Radioisotopes / Q000008:administration & dosage / Q000009:adverse effects; D003131:Combined Modality Therapy; D015653:Cystectomy; D004573:Electrolytes / Q000097:blood; D005260:Female; D006801:Humans; D006934:Hypercalcemia / Q000097:blood*; D006947:Hyperkalemia / Q000097:blood*; D007010:Hyponatremia / Q000097:blood*; D007082:Ileum / Q000601:surgery; D009381:Neoplasms, Radiation-Induced / Q000097:blood / Q000532:radiotherapy / Q000601:surgery*; D016609:Neoplasms, Second Primary / Q000097:blood / Q000532:radiotherapy / Q000601:surgery*; D011137:Polystyrenes / Q000008:administration & dosage; D011183:Postoperative Complications / Q000097:blood*; D011446:Prospective Studies; D001749:Urinary Bladder Neoplasms / Q000097:blood / Q000532:radiotherapy / Q000601:surgery*; D014547:Urinary Diversion
D002588:Cesium Radioisotopes; D004573:Electrolytes; D011137:Polystyrenes; C003321:polystyrene sulfonic acid