Ileal Neobladder: An Important Cause of Non-Anion Gap Metabolic Acidosis
| Autor: | Matthew L. Wong, Jesse W. St. Clair |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Fever medicine.medical_treatment Urinary system 030232 urology & nephrology Urology Anion gap Urinalysis Urinary Diversion Diagnosis Differential 03 medical and health sciences 0302 clinical medicine medicine Humans Ureterostomy Acidosis Acid-Base Equilibrium Bladder cancer business.industry Urinary diversion Metabolic acidosis Middle Aged medicine.disease Hypokalemia Chills Urinary Bladder Neoplasms 030220 oncology & carcinogenesis Urinary Tract Infections Emergency Medicine medicine.symptom Differential diagnosis business |
| Zdroj: | The Journal of emergency medicine. 52(5) |
| ISSN: | 0736-4679 |
| Popis: | Background The differential diagnosis for a non-anion gap metabolic acidosis is probably less well known than the differential diagnosis for an anion gap metabolic acidosis. One etiology of a non-anion gap acidosis is the consequence of ileal neobladder urinary diversion for the treatment of bladder cancer. Case Report We present a case of a patient with an ileal neobladder with a severe non-anion gap metabolic acidosis caused by a urinary tract infection and ureteroenterostomy. Why Should an Emergency Physician Be Aware of This? Part of the ileal neobladder surgery includes ureteroenterostomy and predisposes patients to several clinically significant metabolic derangements, including a non-anion gap metabolic acidosis. These patients have an increased chronic acid load, bicarbonate deficit, and hypokalemia, which should be appreciated when resuscitating these patients. |
| Databáze: | OpenAIRE |
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