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Related Experiment Videos

Massive perioperative polyuria

C Weissman, L M Rosenbaum, H Edwards

    The Journal of Trauma
    |December 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    A patient with a spinal cord injury experienced massive polyuria after surgery for a stomach ulcer. Potential causes include iatrogenic glycosuria and natriuresis, requiring careful management.

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    Area of Science:

    • Neurosurgery
    • Gastroenterology
    • Nephrology

    Background:

    • A 25-year-old male with spinal cord transection due to a gunshot wound.
    • Underwent surgical repair for a perforated prepyloric ulcer on the 8th hospital day.

    Observation:

    • The patient received 68 liters of intravenous fluid.
    • Excreted 43 liters of fluid during the perioperative period, indicating massive polyuria.

    Findings:

    • The exact causes of the extreme polyuria remain unknown.
    • Iatrogenic glycosuria and natriuresis are suspected contributing factors to the severity of fluid loss.

    Implications:

    • Highlights the complex fluid management challenges in patients with spinal cord injuries.
  • Underscores the need for further investigation into iatrogenic causes of polyuria in surgical patients.