장세정제 복용 후 발생한 횡문근융해증, 발작과 비심인성 폐부종의 합병증을 동반한 저나트륨혈증 1예

• Published in: Kidney research and clinical practice pp. 224 - 228
• Main Authors: 손명수, 김효영, 김용훈, 김원희, 이소영, 홍기연, 정훈, 이용구, 양동호, 김형종
• Format: Journal Article
• Language: Korean
• Published: 대한신장학회 01.03.2008
• Subjects: 내과학
• ISSN: 2211-9132; 2211-9140

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. KCI Citation Count: 2