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Metabolic complications secondary to obstruction of a Kock pouch afferent limb
R Mathews1, R D Jeffs, B Fivush
1James Buchanan Brady Urological Institute, Johns Hopkins School of Medicine, Baltimore, Maryland 21287-2101, USA.
Urology
|August 1, 1997
Abstract:
Metabolic complications are frequently seen following urinary diversion with an intestinal segment. Afferent limb complications are noted in 10% of patients undergoing continent Kock urinary diversion. We present a patient with cloacal exstrophy with developed significant hypocalcemic tetany and metabolic acidosis related to a nondraining afferent limb of a Kock pouch created to achieve continence.