Oral Fleet Phospho-Soda laxative-induced hyperphosphatemia and hypocalcemic tetany in an adult: report of a case.
OBJECTIVE
This study was undertaken to report an adverse outcome of the routine use of Fleets Phospho-Soda for bowel cleansing and to review the available literature.


METHODS
Report of a case and review of the literature is presented.


RESULTS
Administration of Fleets Phospho-Soda for bowel preparation in an adult resulted in hyperphosphatemia and hypocalcemic tetany. Review of the literature shows this to be the first such report. Further evaluation suggests a role for partial bowel obstruction and renal failure in this complication.


CONCLUSIONS
Although Fleet Phospho-Soda solution continues to be a safe bowel preparation, caution should be used in adults with bowel obstruction and renal failure.
Vukasin
P
P
Division of Colorectal Surgery, Los Angeles County and University of Southern California Medical Center, USA.
Weston
L A
LA
Beart
R W
RW
D058186:Acute Kidney Injury / Q000150:complications; D000284:Administration, Oral; D000368:Aged; D002400:Cathartics / Q000009:adverse effects*; D003110:Colonic Neoplasms / Q000150:complications; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000150:complications; D010710:Phosphates / Q000009:adverse effects*; D010760:Phosphorus Metabolism Disorders / Q000139:chemically induced*; D013746:Tetany / Q000139:chemically induced*
D002400:Cathartics; D010710:Phosphates; C018279:sodium phosphate