[CARDIOPULMONARY ARREST CAUSED BY HYPERCHLOREMIC METABOLIC ACIDOSIS AFTER RADICAL CYSTOPROSTATECTOMY AND ILEAL
Hidetaka Nihei1, Masaaki Fujimura1, Kei Kawabata1
1Department of Urology, Chiba Prefecture Saiseikai Narashino Hospital.
Abstract:
A 75-year-old man was hospitalized for acute pyelonephritis. Seven months earlier, he had undergone radical cystoprostatectomy and ileal conduit urinary diversion. On the second day of hospitalization, he experienced a stroke in the right cerebral hemisphere. No significant residual effects were identified. On the fifth day of hospitalization, he suffered cardiopulmonary arrest. Fortunately, he was quickly rescued by cardiopulmonary resuscitation. Blood analysis revealed severe hyperchloremic metabolic acidosis and a marked decrease in urinary chloride levels. Hyperchloremic metabolic acidosis and his physical condition quickly improved with continuous hemodiafiltration and antimicrobial treatment. The patient was discharged after stroke rehabilitation. He experienced pyelonephritis twice more, but no cancer recurrence was reported.
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