First Reported Case of Hyperchloremic Non-Anion Gap Metabolic Acidosis in a Patient Undergoing Continuous Bladder Irrigation for Hemorrhagic Cystitis

Radiation cystitis can present as gross hematuria and occurs secondary to irritation of the bladder urothelium. Continuous bladder irrigation (CBI) is commonly used for the treatment of hemorrhagic cystitis for evacuation of blood clots and to maintain catheter drainage. Most commonly, CBI is perfor...

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Autores principales: Latif, Azka, Thirumalareddy, Joseph, Sood, Akshat, Nair, Sunil, Tauseef, Abubakar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Internal Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7813527/
https://www.ncbi.nlm.nih.gov/pubmed/33489544
http://dx.doi.org/10.7759/cureus.12132
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author Latif, Azka
Thirumalareddy, Joseph
Sood, Akshat
Nair, Sunil
Tauseef, Abubakar
author_facet Latif, Azka
Thirumalareddy, Joseph
Sood, Akshat
Nair, Sunil
Tauseef, Abubakar
author_sort Latif, Azka
collection PubMed
description Radiation cystitis can present as gross hematuria and occurs secondary to irritation of the bladder urothelium. Continuous bladder irrigation (CBI) is commonly used for the treatment of hemorrhagic cystitis for evacuation of blood clots and to maintain catheter drainage. Most commonly, CBI is performed using 0.9% sodium chloride. We report a 77-year-old female who developed hyperchloremic non-anion gap metabolic acidosis (H-NAGMA) and pulmonary edema secondary to absorption of 0.9% normal saline (NS) from CBI. In such cases, ringer lactate with low concentration (109 mEq) of chloride as compared to NS (154 mEq) can prove to be a suitable alternative.
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spelling pubmed-78135272021-01-22 First Reported Case of Hyperchloremic Non-Anion Gap Metabolic Acidosis in a Patient Undergoing Continuous Bladder Irrigation for Hemorrhagic Cystitis Latif, Azka Thirumalareddy, Joseph Sood, Akshat Nair, Sunil Tauseef, Abubakar Cureus Internal Medicine Radiation cystitis can present as gross hematuria and occurs secondary to irritation of the bladder urothelium. Continuous bladder irrigation (CBI) is commonly used for the treatment of hemorrhagic cystitis for evacuation of blood clots and to maintain catheter drainage. Most commonly, CBI is performed using 0.9% sodium chloride. We report a 77-year-old female who developed hyperchloremic non-anion gap metabolic acidosis (H-NAGMA) and pulmonary edema secondary to absorption of 0.9% normal saline (NS) from CBI. In such cases, ringer lactate with low concentration (109 mEq) of chloride as compared to NS (154 mEq) can prove to be a suitable alternative. Cureus 2020-12-17 /pmc/articles/PMC7813527/ /pubmed/33489544 http://dx.doi.org/10.7759/cureus.12132 Text en Copyright © 2020, Latif et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Latif, Azka
Thirumalareddy, Joseph
Sood, Akshat
Nair, Sunil
Tauseef, Abubakar
First Reported Case of Hyperchloremic Non-Anion Gap Metabolic Acidosis in a Patient Undergoing Continuous Bladder Irrigation for Hemorrhagic Cystitis
title First Reported Case of Hyperchloremic Non-Anion Gap Metabolic Acidosis in a Patient Undergoing Continuous Bladder Irrigation for Hemorrhagic Cystitis
title_full First Reported Case of Hyperchloremic Non-Anion Gap Metabolic Acidosis in a Patient Undergoing Continuous Bladder Irrigation for Hemorrhagic Cystitis
title_fullStr First Reported Case of Hyperchloremic Non-Anion Gap Metabolic Acidosis in a Patient Undergoing Continuous Bladder Irrigation for Hemorrhagic Cystitis
title_full_unstemmed First Reported Case of Hyperchloremic Non-Anion Gap Metabolic Acidosis in a Patient Undergoing Continuous Bladder Irrigation for Hemorrhagic Cystitis
title_short First Reported Case of Hyperchloremic Non-Anion Gap Metabolic Acidosis in a Patient Undergoing Continuous Bladder Irrigation for Hemorrhagic Cystitis
title_sort first reported case of hyperchloremic non-anion gap metabolic acidosis in a patient undergoing continuous bladder irrigation for hemorrhagic cystitis
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7813527/
https://www.ncbi.nlm.nih.gov/pubmed/33489544
http://dx.doi.org/10.7759/cureus.12132
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