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

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 i...

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Autores principales:	Shugo Yajima, Yasukazu Nakanishi, Shunya Matsumoto, Naoya Ookubo, Kenji Tanabe, Hitoshi Masuda
Formato:	article
Lenguaje:	EN
Publicado:	Karger Publishers 2021
Materias:	hyperglycemic hyperosmolar syndrome hyperchloremic metabolic acidosis radical cystoprostatectomy ileal conduit Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/b7943423df5d4f9fad838a7ce0716bfa
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spelling	oai:doaj.org-article:b7943423df5d4f9fad838a7ce0716bfa2021-11-11T10:40:45ZHyperchloremic Metabolic Acidosis with Hyperglycemic Hyperosmolar Syndrome after Robot-Assisted Radical Cystoprostatectomy with Ileal Conduit Urinary Diversion: A Case Report1662-657510.1159/000518775https://doaj.org/article/b7943423df5d4f9fad838a7ce0716bfa2021-10-01T00:00:00Zhttps://www.karger.com/Article/FullText/518775https://doaj.org/toc/1662-6575Hyperchloremic 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.Shugo YajimaYasukazu NakanishiShunya MatsumotoNaoya OokuboKenji TanabeHitoshi MasudaKarger Publishersarticlehyperglycemic hyperosmolar syndromehyperchloremic metabolic acidosisradical cystoprostatectomyileal conduitNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCase Reports in Oncology, Vol 14, Iss 3, Pp 1460-1465 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	hyperglycemic hyperosmolar syndrome hyperchloremic metabolic acidosis radical cystoprostatectomy ileal conduit Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	hyperglycemic hyperosmolar syndrome hyperchloremic metabolic acidosis radical cystoprostatectomy ileal conduit Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Shugo Yajima Yasukazu Nakanishi Shunya Matsumoto Naoya Ookubo Kenji Tanabe Hitoshi Masuda Hyperchloremic Metabolic Acidosis with Hyperglycemic Hyperosmolar Syndrome after Robot-Assisted Radical Cystoprostatectomy with Ileal Conduit Urinary Diversion: A Case Report
description	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.
format	article
author	Shugo Yajima Yasukazu Nakanishi Shunya Matsumoto Naoya Ookubo Kenji Tanabe Hitoshi Masuda
author_facet	Shugo Yajima Yasukazu Nakanishi Shunya Matsumoto Naoya Ookubo Kenji Tanabe Hitoshi Masuda
author_sort	Shugo Yajima
title	Hyperchloremic Metabolic Acidosis with Hyperglycemic Hyperosmolar Syndrome after Robot-Assisted Radical Cystoprostatectomy with Ileal Conduit Urinary Diversion: A Case Report
title_short	Hyperchloremic Metabolic Acidosis with Hyperglycemic Hyperosmolar Syndrome after Robot-Assisted Radical Cystoprostatectomy with Ileal Conduit Urinary Diversion: A Case Report
title_full	Hyperchloremic Metabolic Acidosis with Hyperglycemic Hyperosmolar Syndrome after Robot-Assisted Radical Cystoprostatectomy with Ileal Conduit Urinary Diversion: A Case Report
title_fullStr	Hyperchloremic Metabolic Acidosis with Hyperglycemic Hyperosmolar Syndrome after Robot-Assisted Radical Cystoprostatectomy with Ileal Conduit Urinary Diversion: A Case Report
title_full_unstemmed	Hyperchloremic Metabolic Acidosis with Hyperglycemic Hyperosmolar Syndrome after Robot-Assisted Radical Cystoprostatectomy with Ileal Conduit Urinary Diversion: A Case Report
title_sort	hyperchloremic metabolic acidosis with hyperglycemic hyperosmolar syndrome after robot-assisted radical cystoprostatectomy with ileal conduit urinary diversion: a case report
publisher	Karger Publishers
publishDate	2021
url	https://doaj.org/article/b7943423df5d4f9fad838a7ce0716bfa
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Hyperchloremic Metabolic Acidosis with Hyperglycemic Hyperosmolar Syndrome after Robot-Assisted Radical Cystoprostatectomy with Ileal Conduit Urinary Diversion: A Case Report

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