Metabolic complications secondary to obstruction of a Kock pouch afferent limb.
Metabolic complications are frequently seen following urinary diversion with an intestinal segment. Afferent limb complications are noted in 10% of patients undergoing continent Kock urinary diversion. We present a patient with cloacal exstrophy with developed significant hypocalcemic tetany and metabolic acidosis related to a nondraining afferent limb of a Kock pouch created to achieve continence.
Mathews
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R
James Buchanan Brady Urological Institute, Johns Hopkins School of Medicine, Baltimore, Maryland 21287-2101, USA.
Jeffs
R D
RD
Fivush
B
B
Docimo
S G
SG
D000293:Adolescent; D005260:Female; D006801:Humans; D006996:Hypocalcemia / Q000209:etiology*; D016476:Urinary Reservoirs, Continent / Q000009:adverse effects* / Q000379:methods