| Hyponatremia with Non-Cardiogenic Pulmonary edema, Seizure and Rhabdomyolysis after Bowel Preparation |
| Myung Su Son, M.D., Heo Young Kim, M.D., Yong Hun Kim, M.D., Won Hee Kim, M.D. So Young Lee, M.D., Gi Youn Hong, M.D., Hoon Jeong, M.D., Yong Gu Lee, M.D. Dong Ho Yang, M.D. and HyungJong Kim, M.D. |
| Department of Internal Medicine, College of Medicine, Pochon CHA University, Sungnam, Korea |
| 증례 : 장세정제 복용 후 발생한 횡문근융해증, 발작과 비심인성 폐부종의 합병증을 동반한 저나트륨혈증 1예 |
| 손명수, 김효영, 김용훈, 김원희, 이소영, 홍기연, 정 훈, 이용구, 양동호, 김형종 |
| 포천중문의과대학 내과학교실 |
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| Abstract |
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Oral sodium phosphate is commonly used to evacuate the colon and rectum before colonoscopy or
colorectal surgery. However, this substance is known to cause electrolyte abnormalities including
hyponatremia. The hyponatremic patient usually presents with headache, nausea, vomiting and confusion,
but can also present with non-cardiogenic pulmonary edema, seizure and rhabdomyolysis. However,
non-cardiogenic pulmonary edema, seizure and rhabdomyolysis caused by hyponatremia associated
with bowel preparation have only rarely been reported. We report a case of severe complications
including non-cardiogenic pulmonary edema, seizure and rhabdomyolysis associated with hyponatremia
following ingestion of sodium phosphate for colonoscopy in a 41-year-old healthy male. |
| Key Words:
Hyponatremia, Pulmonary edema, Seizure, Rhabdomyolysis |
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