Acute Kidney Injury with Hemolysis after Glycerin Enema-induced Rectal Injury in a Patient with Type 2 Diabetes
Autor: | Fumihiko Furuya, Masashi Ichijo, Suguru Nakamura, Kenichiro Kitamura, Ryosuke Hayashida, Noriyuki Harima, Kyoichiro Tsuchiya |
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Rok vydání: | 2020 |
Předmět: |
Glycerol
Male medicine.medical_specialty Colonoscopy Enema Case Report Urine Type 2 diabetes 030204 cardiovascular system & hematology Hemolysis Gastroenterology 03 medical and health sciences 0302 clinical medicine Weight loss Internal medicine glycerin enema hemolysis Internal Medicine medicine Humans Aged Glycemic Hematologic Tests biology medicine.diagnostic_test business.industry Haptoglobin Rectum Acute kidney injury General Medicine Acute Kidney Injury medicine.disease digestive system diseases Diabetes Mellitus Type 2 biology.protein 030211 gastroenterology & hepatology medicine.symptom business |
Zdroj: | Internal Medicine |
ISSN: | 1349-7235 0918-2918 |
DOI: | 10.2169/internalmedicine.4217-19 |
Popis: | A 66-year-old man with type 2 diabetes was admitted for glycemic control and weight loss. The rectal mucosa was unfortunately injured during glycerin enema administration in preparation for colonoscopy, after which dark red urine and renal dysfunction were observed. Considering the clinical diagnosis of glycerol-induced hemolysis and acute kidney injury, intravenous hydration and haptoglobin administration were started, which successfully treated the dark red urine and renal dysfunction. This case highlights the importance of appropriate glycerin enema administration and emphasizes the need to recognize glycerol-induced hemolysis and acute kidney injury as complications of glycerin enemas. This case also provides insight into glycerol-induced hemolysis and acute kidney injury as complications of glycerin enemas. |
Databáze: | OpenAIRE |
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