[CARDIOPULMONARY ARREST CAUSED BY HYPERCHLOREMIC METABOLIC ACIDOSIS AFTER RADICAL CYSTOPROSTATECTOMY AND ILEAL...

Area of Science:

• Nephrology
• Urology
• Critical Care Medicine

Background:

• A 75-year-old male patient underwent radical cystoprostatectomy and ileal conduit urinary diversion.
• Seven months post-surgery, the patient was hospitalized for acute pyelonephritis.

Purpose of the Study:

• To report a rare case of severe hyperchloremic metabolic acidosis in a patient with acute pyelonephritis following urinary diversion.
• To discuss the management and outcomes of such a complication.

Main Methods:

• The patient's clinical presentation, laboratory findings, and treatment course were reviewed.
• Continuous hemodiafiltration and antimicrobial therapy were utilized for management.

Main Results:

• The patient experienced acute pyelonephritis, stroke, and cardiopulmonary arrest during hospitalization.
• Severe hyperchloremic metabolic acidosis with decreased urinary chloride was identified.
• Treatment with continuous hemodiafiltration and antibiotics resulted in rapid improvement.

Conclusions:

• Ileal conduit urinary diversion can be associated with metabolic complications like hyperchloremic metabolic acidosis.
• Prompt diagnosis and management, including hemodiafiltration, are crucial for favorable outcomes.
• Patients require close monitoring for potential complications post-urinary diversion surgery.