Metabolic acidosis: an emerging problem in patients with intestinal segments as part of urinary diversion. A report of two cases.
Two cases of severe metabolic acidosis are reported, one of which led to severe disablement of the patient due to osteomalacia. Both patients had a urinary diversion performed years beforehand, one consisting of a continent ileal Kock reservoir and the other of a urethral Kock pouch. The mechanisms of these complications and their treatment are discussed.
Lundbeck
F
F
Department of Urology, University of Aarhus, Skejby Hospital, Denmark.
Hasling
C
C
D000138:Acidosis / Q000209:etiology* / Q000378:metabolism / Q000628:therapy; D005260:Female; D006801:Humans; D007422:Intestines / Q000601:surgery; D008297:Male; D008875:Middle Aged; D001743:Urinary Bladder / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000473:pathology / Q000601:surgery*; D014547:Urinary Diversion / Q000009:adverse effects*; D016476:Urinary Reservoirs, Continent / Q000009:adverse effects