Ileocolic perforation secondary to sodium polystyrene sulfonate in sorbitol use: a case report.
Hyperkalemia is a common condition encountered in medical and surgical patients. It can lead to various complications including cardiac arrhythmias. Sodium polystyrene sulfonate (SPS) in sorbitol is an ion-exchange resin that can be used to treat hyperkalemia. It can be used in enema or in oral form. The present article describes the case of an intensive care unit patient who experienced severe, diffuse, intestinal perforation induced by the use of SPS-sorbitol, requiring multiple laparotomies, followed by a brief review of the relevant literature and recommendations regarding the use of SPS-sorbitol.
Trottier
Vincent
V
Department of General Surgery, Centre Hospitalier Affilié Universitaire de Québec, Quebec City, Quebec. R8155@hotmail.com
Drolet
Sébastian
S
Morcos
Mohib W
MW
D002400:Cathartics / Q000009:adverse effects* / Q000737:chemistry; D002411:Cation Exchange Resins / Q000009:adverse effects*; D003108:Colonic Diseases / Q000139:chemically induced*; D005260:Female; D006801:Humans; D006947:Hyperkalemia / Q000188:drug therapy; D007077:Ileal Diseases / Q000139:chemically induced*; D007416:Intestinal Perforation / Q000139:chemically induced*; D009336:Necrosis / Q000139:chemically induced; D011137:Polystyrenes / Q000009:adverse effects*; D013012:Sorbitol / Q000009:adverse effects* / Q000737:chemistry; D055815:Young Adult
D002400:Cathartics; D002411:Cation Exchange Resins; D011137:Polystyrenes; D013012:Sorbitol; C003321:polystyrene sulfonic acid