title: [Hyponatraemic encephalopathy and rhabdomyolysis. Complications after preparation for colonoscopy with mannitol].
abstract: In the preparation for colonoscopy, it is necessary to drink a great deal of often hypo-osmotic fluid. Therefore, the electrolytes and intra- and extracellular water are disequilibrated. Most of the patients tolerate this without any subjective or objective symptoms. In our case, a young male patient suffered from a severe hyponatriaemia with encephalopathy for more than 48 h through the preparation for an elective ambulant colonoscopy with mannite. Furthermore, he developed a rhabdomyolysis (either through lying on the floor in coma for more than 9 h, through the hyponatriaemia itself or through compensation of the hyponatriaemia) that lasted for ca. 1 week.
authors.affiliation: Medizinische Klinik, Klinikum der Universität München, Standort Innenstadt, Ziemssenstrasse 1, 80336 Munich, Germany. Martin.Veitenhansl@med.uni-muenchen.de
authors.forename: M
authors.initials: M
authors.lastname: Veitenhansl
authors.forename: N
authors.initials: N
authors.lastname: Reisch
authors.forename: S
authors.initials: S
authors.lastname: Schmauss
authors.forename: M
authors.initials: M
authors.lastname: Wörnle
authors.forename: R
authors.initials: R
authors.lastname: Gärtner
mesh_terms: D000328:Adult; D001927:Brain Diseases / Q000139:chemically induced* / Q000175:diagnosis; D003113:Colonoscopy / Q000009:adverse effects* / Q000379:methods; D004234:Diuretics, Osmotic / Q000009:adverse effects; D006801:Humans; D007010:Hyponatremia / Q000139:chemically induced* / Q000175:diagnosis; D008297:Male; D008353:Mannitol / Q000009:adverse effects*; D011292:Premedication / Q000009:adverse effects* / Q000379:methods; D012206:Rhabdomyolysis / Q000139:chemically induced* / Q000175:diagnosis
chemical_list: D004234:Diuretics, Osmotic; D008353:Mannitol