title: [Enema-induced hyperphosphatemia in ileus of the small and large intestine].
abstract: We report a case of severe hyperphosphatemia following repeated use of phosphate-containing enemas in a patient with small and large bowel ileus, who died from acute renal and cardiovascular failure. Refractory hypocalcemia presumably resulted from precipitation of calcium-phosphate. Hypocalcemia may induce alterations which seriously compromise the clinical course.
authors.affiliation: Abteilung Allgemeine Chirurgie mit Poliklinik, Chirurgische Universitätsklinik Freiburg.
authors.forename: C
authors.initials: C
authors.lastname: Wilmanns
authors.forename: T
authors.initials: T
authors.lastname: Bernschneider
authors.forename: U
authors.initials: U
authors.lastname: Schöffel
authors.forename: E H
authors.initials: EH
authors.lastname: Farthmann
mesh_terms: D000368:Aged; D003125:Colostomy; D004733:Enema; D006801:Humans; D007415:Intestinal Obstruction / Q000150:complications* / Q000601:surgery; D007420:Intestine, Large / Q000601:surgery*; D007421:Intestine, Small / Q000601:surgery*; D008297:Male; D010710:Phosphates / Q000008:administration & dosage / Q000097:blood*; D011183:Postoperative Complications / Q000139:chemically induced / Q000601:surgery*; D012004:Rectal Neoplasms / Q000601:surgery*; D012086:Reoperation
chemical_list: D010710:Phosphates