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KMID : 0359920080270020224
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Korean Journal of Nephrology
2008 Volume.27 No. 2 p.224 ~ p.228
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Hyponatremia with Non-Cardiogenic Pulmonary edema, Seizure and Rhabdomyolysis after Bowel Preparation
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Son Myung-Su
Kim Hyo-Young
Kim Yong-Hun
Kim Won-Hee
Lee So-Young
Hong Gi-Youn
Jeong Hun
Lee Yong-Gu
Yang Dong-Ho
Kim Hyung-Jong
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Abstract
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Oral sodium phosphate is commonly used to evacuate the colon and rectum before colonoscopy or colorectal surgery. However, this substance is known to cause electrolyte abnormalities including hyponatremia. The hyponatremic patient usually presents with headache, nausea, vomiting and confusion, but can also present with non-cardiogenic pulmonary edema, seizure and rhabdomyolysis. However, non-cardiogenic pulmonary edema, seizure and rhabdomyolysis caused by hyponatremia associated with bowel preparation have only rarely been reported. We report a case of severe complications including non-cardiogenic pulmonary edema, seizure and rhabdomyolysis associated with hyponatremia
following ingestion of sodium phosphate for colonoscopy in a 41-year-old healthy male.
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KEYWORD
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Hyponatremia, Pulmonary edema, Seizure, Rhabdomyolysis
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