scholarly journals FROM SITTING ON THE TOILET TO LIFE-SAVING HEMODIALYSIS: A UNIQUE CASE OF CATATONIA RESULTING IN SEVERE RHABDOMYOLYSIS AND ACUTE RENAL FAILURE

CHEST Journal ◽  
2021 ◽  
Vol 160 (4) ◽  
pp. A783
Author(s):  
Nicole Bernskoetter ◽  
Asiya Tafader ◽  
Suong Nguyen ◽  
Rafae Shaikh ◽  
Resham Pawar ◽  
...  
Cureus ◽  
2017 ◽  
Author(s):  
Gbeminiyi Samuel ◽  
Adebayo C Atanda ◽  
Alex Onyemeh ◽  
Ahmad Awan ◽  
Oyintayo Ajiboye

Diverting jejunostomy is almost always a last ditch effort in a situation of abdominal catastrophe. Although it is life-saving, it may adversely affect the patient’s metabolic status and renal function. Consequentially an emergency jejunostomy should be a temporary measure and should be closed as early as possible. We present a unique case where the creation of а temporary loop jejunostomy was indicated. To prevent acute renal failure, we re-infused the stoma effluent into its distal limb through a Foley catheter. The latter was implanted subcutaneously which allowed us to re-feed the stoma without disturbing the appliance seal. The patient recovered on oral intake without the use of total parenteral nutrition.


Open Medicine ◽  
2010 ◽  
Vol 5 (5) ◽  
pp. 541-543
Author(s):  
Alev Erikci ◽  
Ozkan Sayan ◽  
Bulent Karagoz ◽  
Zafer Kucukodaci ◽  
Murat Velioglu

AbstractIntra-cranial involvement is an uncommon complication of multiple myeloma. We report a 68-year-old woman hospitalized for acute renal failure, vertigo and headache. Magnetic Resonance Imaging (MRI) revealed two and a half and 3cm length cranial lesion, which proved to be plasmacytoma. After complete staging, we retained the diagnosis of immunoglobulin G lambda-type multiple myeloma with intracranial involvement. Cytogenetic analysis of plasma cells detected no change. Currently, she is a regular hemodialysis patient. She is planned to have both systemic therapy with 40mg dexamethasone and cranial radiotherapy. Involvement of the CNS in multiple myeloma is very rare. Diagnosis of multiple myeloma subsequent to initial intrcranial involvement is confined to exceptional cases. Despite aggressive systemic treatments, including autologous stem cell transplantation and local treatments such as cerebral radiotherapy, the prognosis for patients with CNS myeloma is extremely poor. Our unique case implies that physicians should be alert in case of vertigo or headache in cases with acute renal failure.


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