Sudden hypotensive syncope and significant iatrogenic maxillofacial trauma following administration of oral sodium phosphate purgative solution.
Oral sodium phosphate (NaP) solution is used globally as a bowel preparation for colonoscopy, surgery and medical-imaging (Balaban 2008). We present a case of a patient who suffered sudden hypotensive syncope and iatrogenic mandibular fractures within an hour of ingesting a NaP solution. We discuss the uses of these medicines and highlight the need to warn patients of possible adverse side effects to avoid patient harm and subsequent litigation.
Williams
John V
JV
Frenchay Hospital, Frenchay Park Road, Bristol, BS16 1LE. j.v.williams@doctors.org.uk
Colbert
Serryth D
SD
Revington
Peter J
PJ
D000058:Accidental Falls; D000368:Aged; D002400:Cathartics / Q000009:adverse effects*; D003113:Colonoscopy; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D008335:Mandibular Condyle / Q000293:injuries*; D008337:Mandibular Fractures / Q000209:etiology*; D010710:Phosphates / Q000009:adverse effects*; D019462:Syncope, Vasovagal / Q000139:chemically induced*
D002400:Cathartics; D010710:Phosphates; C018279:sodium phosphate