Rapid onset severe hyperkalemia during robotic radical cystectomy: a case report.

IF 1.2 4区 医学 Q3 UROLOGY & NEPHROLOGY
Canadian Journal of Urology Pub Date : 2024-10-01
Matthew Buell, Brian Hu
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引用次数: 0

Abstract

Radical cystectomy is a preferred treatment for muscle-invasive bladder cancer.  Despite known complications, rapid onset, severe hyperkalemia necessitating abortion of surgery has not been reported.  In this case report, a patient with end stage renal disease (ESRD) undergoing attempted cystectomy developed severe intraoperative hyperkalemia and acidosis that led to abortion of surgery and transfer to the medical intensive care unit for emergent hemodialysis.  The multifactorial etiology was related to respiratory acidosis, ESRD, patient positioning, clipping of ureters, and body habitus, as well as an idiopathic element.  Knowledge of hyperkalemia etiologies can assist in diagnosis and treatment of this serious condition.

机器人根治性膀胱切除术中快速出现的严重高钾血症:病例报告。
根治性膀胱切除术是治疗肌肉浸润性膀胱癌的首选方法。 尽管并发症众所周知,但因发病迅速、严重的高钾血症而不得不中止手术的情况尚未见报道。 在本病例报告中,一名患有终末期肾病(ESRD)的患者在尝试进行膀胱切除术时,术中出现了严重的高钾血症和酸中毒,导致手术流产并转入内科重症监护室进行紧急血液透析。 多因素病因与呼吸性酸中毒、ESRD、患者体位、剪断输尿管、体型以及特发性因素有关。 了解高钾血症的病因有助于诊断和治疗这一严重疾病。
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来源期刊
Canadian Journal of Urology
Canadian Journal of Urology UROLOGY & NEPHROLOGY-
CiteScore
1.90
自引率
0.00%
发文量
86
审稿时长
6-12 weeks
期刊介绍: The CJU publishes articles of interest to the field of urology and related specialties who treat urologic diseases.
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