title: Hypermagnesemia accompanied with colonic perforation in a hemodialysis patient.
abstract: We report a case of a chronic hemodialysis patient who developed hypermagnesemia due to an overdose of magnesium-containing laxative and paralytic ileus resulting in colonic perforation. Despite intravenous calcium infusion and daily hemodialysis, the patient developed ischemic colitis and intestinal perforation. Colonic perforation accompanied with hypermagnesemia in hemodialysis patients has rarely been reported. This case suggests that hypermagnesemia should be considered in renal failure patients as this can result in life-threatening events despite prompt treatment.
authors.affiliation: Department of Internal Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 56 Dongsu-ro, Bupyeong-gu, Incheon 403-720, Korea.
authors.forename: Hye Eun
authors.initials: HE
authors.lastname: Yoon
authors.forename: Young Wook
authors.initials: YW
authors.lastname: Kim
authors.forename: Kyung Sun
authors.initials: KS
authors.lastname: Ha
authors.forename: Eun Hui
authors.initials: EH
authors.lastname: Sim
authors.forename: Seong Woo
authors.initials: SW
authors.lastname: Go
authors.forename: Seok Joon
authors.initials: SJ
authors.lastname: Shin
mesh_terms: D017091:Colitis, Ischemic / Q000139:chemically induced* / Q000175:diagnosis / Q000601:surgery; D003248:Constipation / Q000188:drug therapy* / Q000601:surgery; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000139:chemically induced* / Q000601:surgery; D054368:Laxatives / Q000009:adverse effects / Q000506:poisoning*; D008274:Magnesium / Q000506:poisoning*; D008875:Middle Aged; D006435:Renal Dialysis
chemical_list: D054368:Laxatives; D008274:Magnesium
keywords: Hypermagnesemia; colonic perforation; hemodialysis; paralytic ileus
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