Hypermagnesemia caused by fecal-mass obstruction in stenotic rectal cancer following preoperative administration of magnesium citrate
Sato Y, Hashiba E, Yamazaki Y, Kato K, Kinoshita H, Noguchi S, Kudo T, Hirota K
JA clinical reports · 0 citations
How it was studied
- Design
- Case report (classified by our AI screen)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Independent funding
- Government
- Japan Society for the Promotion of Science
- Grants
- Japan Society for the Promotion of Science (24K19449)
Based on 1 listed funder(s) and full-text disclosure statement.
Publication
- Published
- 2024-12-20 · JA Clin Rep · vol. 10 · issue 1 · p. 77
- Publisher
- Springer Nature
- Cited
- 3 citations · more than 67% of similar papers · 0.6× the field average
- References
- 9 works
- Access
- Open access (journal) · CC-BY
- Research areas
- Magnesium in Health and Disease · Esophageal and GI Pathology · Enhanced Recovery After Surgery
- Keywords
- Medicine, Hypermagnesemia, Anesthesia, Cathartic, Fecal impaction, Surgery, Magnesium, Hypomagnesemia, Constipation
8 authors
From JP
- Yuri A. Sato · correspondingAomori Prefectural Central Hospital
- Eiji HashibaHirosaki University
- Yuuma YamazakiKensei Hospital
- Koudai KatoAomori Prefectural Central Hospital
- Hirotaka KinoshitaHirosaki University
- Satoko NoguchiHirosaki University
Abstract
Background
Hypermagnesemia is a rare complication, leading to fatal cardiovascular and respiratory conditions. We present severe hypermagnesemia developed in a patient with a rectal stenosis after pretreatment with oral magnesium citrate for rectosigmoid surgery.
Case presentation
A 78-year-old woman demonstrated consciousness disturbance, muscle weakness, and respiratory depression requiring tracheal intubation after preparation with oral magnesium for rectosigmoid surgery. Endoscopic examination showed a rectal obstruction due to fecal impaction. General condition improved after emergency Hartmann's surgery. Blood test revealed a remarkable increase of serum magnesium level to 17.5 mg/dL when the general condition deteriorated, which would have been responsible for her symptoms. She was discharged from the ICU after extubation on the third postoperative day with a normal magnesium level.
Conclusions
Pretreatment with large doses of oral magnesium-containing bowel cleanser may cause severe hypermagnesemia in patients with colorectal stenosis.
Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).
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