[Serious postoperative metabolic alkalosis during hospitalization]

Metabolic alkalosis is a frequent and serious abnormal acid-base disturbance with a high-pH-dependent morbidity and mortality rate. This situation is easy to recognize, and the treatment is relatively simple. We present a case history dealing with metabolic alkalosis as a consequence of severe acid-base disturbance with electrolyte and fluid imbalance caused by continuous postoperative vomiting and nasogastric suction. Our aim is to attract greater attention to this acid-base disturbance and a better understanding of the pathogenesis, which in turn should lead to earlier intervention and more appropriate therapy.