CASE REPORT
Severe hyperphosphataemia and metabolic acidosis after administration of phosphate-containing enema in a 10-year-old girl – case report and review of literature
1
Students’ Scientific Association of Paediatric Gastroenterology, Department of Paediatrics, Haemato-Oncology,
and Gastroenterology, Pomeranian Medical University, Szczecin, Poland
2
Department of Paediatrics, Haemato-Oncology, and Gastroenterology, Pomeranian Medical University, Szczecin, Poland
Submission date: 2020-10-02
Final revision date: 2020-11-08
Acceptance date: 2020-11-25
Publication date: 2021-01-30
Pediatr Pol 2020;95(4):258-262
KEYWORDS
TOPICS
ABSTRACT
Constipation is among the most common complaints in GPs’ offices, affecting over 10% of children reporting to the doctor [1]. Due to the COVID-19 pandemic, access to specialist care has become difficult, which has led to neglect of diagnosis and managing chronic diseases. We present a case of a 10-year-old girl admitted to the emergency department (ED) with symptoms of severe constipation and abdominal pain and a history of ongoing constipation and faecal soiling for 6 months. In the ED she was given a sodium-phosphate enema twice. After a few hours she developed life-threatening hyperphosphataemia, hypocalcaemia, and metabolic acidosis. The presented patient presents an example of severe, chronic, and improperly treated constipation with an extremely rare side effect of a sodium-phosphate enema. It is important to underline that monitoring after the procedure and quick and proper treatment, if the mentioned effect occurs, can save the patient’s life.
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