Bowel perforation is an uncommon complication of the administration of sodium polystirene sulfonate. We describe a case of bowel perforation occurring soon after the performance of a right colectomy in a patient with stage 3 chronic renal failure treated with sodium polystyrene sulfonate. The perforation was revealed during the course of revision surgery. histological examination demonstrated perivisceritis with ischemic wall damage and hemorrhagic mucosa filled with numerous blackish, sharp-angled crystalloids. After reviewing the literature concerning the complications associated with the administration of SPS, we discuss some aspects of professional medical liability with particular reference to the etiopathogenesis of bowel perforation.

Pellegrinelli, M., Marchesi, M., Morini, O., Lotti, M. (2020). Bowel perforation complicating sodium polystyrene sulfonate (Kayexalate®) therapy. CHIRURGIA, 33(1), 51-57 [10.23736/S0394-9508.19.04942-8].

Bowel perforation complicating sodium polystyrene sulfonate (Kayexalate®) therapy

Pellegrinelli M.
Primo
;
Marchesi M.
Secondo
;
Morini O.
Penultimo
;
2020

Abstract

Bowel perforation is an uncommon complication of the administration of sodium polystirene sulfonate. We describe a case of bowel perforation occurring soon after the performance of a right colectomy in a patient with stage 3 chronic renal failure treated with sodium polystyrene sulfonate. The perforation was revealed during the course of revision surgery. histological examination demonstrated perivisceritis with ischemic wall damage and hemorrhagic mucosa filled with numerous blackish, sharp-angled crystalloids. After reviewing the literature concerning the complications associated with the administration of SPS, we discuss some aspects of professional medical liability with particular reference to the etiopathogenesis of bowel perforation.
Articolo in rivista - Articolo scientifico
Hyperkalemia; Intestinal perforation; Polystyrene sulfonic acid; Sorbitol
English
2020
33
1
51
57
reserved
Pellegrinelli, M., Marchesi, M., Morini, O., Lotti, M. (2020). Bowel perforation complicating sodium polystyrene sulfonate (Kayexalate®) therapy. CHIRURGIA, 33(1), 51-57 [10.23736/S0394-9508.19.04942-8].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/273979
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