146 Severe Persistent Hyponatremia: A Rare Presentation of Biliary Fluid Loss

2018 ◽  
Vol 71 (4) ◽  
pp. 552
Keyword(s):  
Fluid Loss ◽  
Rare Presentation

scholarly journals Severe Persistent Hyponatremia: A Rare Presentation of Biliary Fluid Loss

2019 ◽  
Vol 7 ◽  
pp. 232470961986937
Author(s):  
Asim Kichloo ◽  
El-Amir Zain ◽  
M. Zatmar Khan ◽  
Farah Wani ◽  
Jagmeet Singh
Keyword(s):  
Antidiuretic Hormone ◽  
Water Retention ◽  
Hormone Secretion ◽  
Free Water ◽  
Acalculous Cholecystitis ◽  
Fluid Loss ◽  
Rare Presentation ◽  
Arterial Blood ◽  
Cholecystostomy Tube ◽  
Acute Hyponatremia

Hypotonic hyponatremia is caused by a serum sodium level of <135 mEq/L in the setting of excess solute loss accompanied by free water retention because of antidiuretic hormone release, subsequent to decreased effective arterial blood volume. Acute hyponatremia can have various neurological manifestations, including drowsiness, lethargy, coma, seizures, respiratory depression, and even death. In this article, we present a case of a 41-year-old man who presented with hyponatremia as a result of sodium containing biliary fluid loss and resultant renal free water retention in response to increased antidiuretic hormone secretion. He underwent placement of a cholecystostomy tube for acalculous cholecystitis and was found to be persistently hyponatremic despite repletion with sodium-containing fluids. Once the cholecystostomy tube was removed, the patient’s sodium levels improved, and his symptoms resolved. Our case highlights choleuresis as an unusual but significant cause of hyponatremia in patients who have external biliary drainage.

Abstract #842 Partial Hypopituitarism Following Miscarriage- A Rare Presentation

2018 ◽  
Vol 24 ◽  
pp. 195
Author(s):  
Monisha Priyadarshini Kumar ◽  
Irtsam Shahid ◽  
Daniela Ciltea
Keyword(s):  
Rare Presentation

Abstract #255: Kenny-Caffey Syndrome: A Rare Presentation of a Rare Disease

2006 ◽  
Vol 12 ◽  
pp. 93-94
Author(s):  
Khurshid Ahmad Khan ◽  
Stephen A. Brietzke
Keyword(s):  
Rare Disease ◽  
Rare Presentation

Pneumomediastinum: A Rare Presentation of Inflicted Injuries in Infants

2020 ◽  
Author(s):  
Adam Lee ◽  
Adam Bajinting ◽  
Abby Lunneen ◽  
Colleen M. Fitzpatrick ◽  
Gustavo A. Villalona
Keyword(s):  
Literature Review ◽  
Retrospective Review ◽  
Review Of The Literature ◽  
Rare Presentation ◽  
Spontaneous Pneumomediastinum ◽  
Nonaccidental Trauma ◽  
Comprehensive Literature Review ◽  
Healthy Infants ◽  
History Of

AbstractReports of incidental pneumomediastinum in infants secondary to inflicted trauma are limited. A retrospective review of infants with pneumomediastinum and history of inflicted trauma was performed. A comprehensive literature review was performed. Three infants presented with pneumomediastinum associated with inflicted trauma. Mean age was 4.6 weeks. All patients underwent diagnostic studies, as well as a standardized evaluation for nonaccidental trauma. All patients with pneumomediastinum were resolved at follow-up. Review of the literature identified other cases with similar presentations with related oropharyngeal injuries. Spontaneous pneumomediastinum in previously healthy infants may be associated with inflicted injuries. Clinicians should be aware of the possibility of an oropharyngeal perforation related to this presentation.

A rare presentation of type 2 diabetes: diabetic ketoacidosis, acute pancreatitis, and hypertriglyceridaemia

2014 ◽  
Author(s):  
Abdulghani Al-Saeed ◽  
Ahmad Alobedallah ◽  
Ayman Al-Hayek ◽  
Sohail Inam ◽  
Rim Braham ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Acute Pancreatitis ◽  
Diabetic Ketoacidosis ◽  
Rare Presentation

Neonatal seizure: a rare presentation of maternal hyperparathyroidism

2014 ◽  
Author(s):  
Lucy Dunn ◽  
Laura Ashmore ◽  
Tabitha Randell ◽  
Louise Denvir ◽  
Pooja Sachdev
Keyword(s):  
Neonatal Seizure ◽  
Rare Presentation
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