scholarly journals Hyperchloremic Metabolic Acidosis with Hyperglycemic Hyperosmolar Syndrome after Robot-Assisted Radical Cystoprostatectomy with Ileal Conduit Urinary Diversion: A Case Report

2021 ◽  
Vol 14 (3) ◽  
pp. 1460-1465
Author(s):  
Shugo Yajima ◽  
Yasukazu Nakanishi ◽  
Shunya Matsumoto ◽  
Naoya Ookubo ◽  
Kenji Tanabe ◽  
...  

Hyperchloremic metabolic acidosis can be a problem in urinary diversion using the ileum. A 73-year-old Japanese male was hospitalized in emergency due to anorexia and malaise 3 weeks after being discharged from the hospital after getting robot-assisted radical cystoprostatectomy and intracorporeal ileal conduit urinary diversion. The blood analysis revealed metabolic acidosis, elevated chloride ions, and marked hyperglycemia: he was diagnosed with hyperchloremic metabolic acidosis and hyperglycemic hyperosmolar syndrome. We started administering insulin and large amounts of fluid replacement; besides, we inserted a large-diameter open tip catheter into the ileal conduit in hopes of inhibiting urine reabsorption in the intestinal mucosa. His general condition gradually improved, and he was discharged 10 days after his hospitalization.

2008 ◽  
Vol 18 (3) ◽  
pp. 401-404 ◽  
Author(s):  
Sung Yul Park ◽  
Kang Su Cho ◽  
Won Sik Ham ◽  
Hyun Min Choi ◽  
Sung Joon Hong ◽  
...  

2018 ◽  
pp. 755-763
Author(s):  
Ahmed Aly Hussein ◽  
Youssef E. Ahmed ◽  
Khurshid A. Guru

2003 ◽  
Vol 92 (3) ◽  
pp. 232-236 ◽  
Author(s):  
M. Menon ◽  
A.K. Hemal ◽  
A. Tewari ◽  
A. Shrivastava ◽  
A.M. Shoma ◽  
...  

2012 ◽  
Vol 11 (1) ◽  
pp. eV22-eV22a
Author(s):  
J. Sammon ◽  
J. Jhaveri ◽  
S. Sukumar ◽  
C. Fitzgerald ◽  
M. Ehlert ◽  
...  

Urology ◽  
2004 ◽  
Vol 63 (1) ◽  
pp. 51-55 ◽  
Author(s):  
K.C. Balaji ◽  
Paulos Yohannes ◽  
Corrigan L. McBride ◽  
Dmitry Oleynikov ◽  
George P. Hemstreet

2007 ◽  
Vol 21 (12) ◽  
pp. 1473-1480 ◽  
Author(s):  
Jose Benito A. Abraham ◽  
Jennifer L. Young ◽  
Geoffrey N. Box ◽  
Hak J. Lee ◽  
Leslie A. Deane ◽  
...  

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