title: Magnesium Toxicity-Induced Ileus in a Postpartum Patient Treated for Preeclampsia With Magnesium Sulphate.
abstract: Hypermagnesemia is a rare and under-recognized cause of paralytic ileus. We report a case of a 21-year-old primigravida who was managed aggressively for preeclampsia and presented with postpartum paralytic ileus. Detailed history was employed to consider hypermagnesemia-induced ileus as the working diagnosis, and the patient improved with correction of the electrolyte imbalance. Hypermagnesemia-induced lethargy, decreased reflexes, muscle weakness, flaccid paralysis, respiratory muscle paralysis, and cardiac arrest are well-described; however, intestinal smooth muscle dysfunction leading to paralytic ileus has never been reported in the setting of magnesium use for peripartum preeclampsia management.
authors.affiliation: Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Al-Shoha
authors.affiliation: Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR.
authors.forename: Jagpal S
authors.initials: JS
authors.lastname: Klair
authors.affiliation: Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR ; Department of Medicine, Division of Gastroenterology and Hepatology, Department of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR.
authors.forename: Mohit
authors.initials: M
authors.lastname: Girotra
authors.affiliation: Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR ; Department of Medicine, Division of Gastroenterology and Hepatology, Department of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR.
authors.forename: Mauricio
authors.initials: M
authors.lastname: Garcia-Saenz-de-Sicilia