title: Metabolic complications secondary to obstruction of a Kock pouch afferent limb.
abstract: 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.
authors.affiliation: James Buchanan Brady Urological Institute, Johns Hopkins School of Medicine, Baltimore, Maryland 21287-2101, USA.
authors.forename: R
authors.initials: R
authors.lastname: Mathews
authors.forename: R D
authors.initials: RD
authors.lastname: Jeffs
authors.forename: B
authors.initials: B
authors.lastname: Fivush
authors.forename: S G
authors.initials: SG
authors.lastname: Docimo
mesh_terms: D000293:Adolescent; D005260:Female; D006801:Humans; D006996:Hypocalcemia / Q000209:etiology*; D016476:Urinary Reservoirs, Continent / Q000009:adverse effects* / Q000379:methods