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An Unusual Case of Resistant Hypokalaemia in a Patient with Large Bowel Obstruction Secondary to Neuroendocrine Carcinoma of the Prostate
Joint Authors
Bagul, Atul
Mathuram Thiyagarajan, Umasankar
Gupta, A.
Ponnuswamy, Amirthavarshini
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-03-13
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Neuroendocrine Carcinoma of the Prostate (NECP) is rare and only few cases have been reported, constituting less than 0.5% of prostatic malignancies.
We report a rare case of large bowel obstruction from NECP posing a further challenge in management due to resistant hypokalaemia.
A 70-year-old man presented with clinical signs of large bowel obstruction who was known to have prostatic carcinoma three years ago, treated initially with hormone therapy then chemoradiation.
The blood profile showed a severe hypokalaemia and CT scan revealed liver and lung metastases apart from confirming large bowel obstruction from local invasion of NECP.
Severe hypokalaemia was believed to be caused by paraneoplastic syndrome from tumor burden or by recent administration of Etoposide.
Intensive potassium correction through a central venous access in maximal doses of 150 mmol/24 hours under cardiac monitoring finally raised serum potassium to 3.8 mmol/L.
This safe period allowed us to perform a trephine colostomy at the left iliac fossa.
The postoperative period was relatively uneventful.
This first case report is presenting a rare cause of large bowel obstruction from a neuroendocrine carcinoma of prostate and highlights the importance of an early, intensive correction of electrolytes in patients with large tumor burden from NECP.
American Psychological Association (APA)
Mathuram Thiyagarajan, Umasankar& Ponnuswamy, Amirthavarshini& Bagul, Atul& Gupta, A.. 2017. An Unusual Case of Resistant Hypokalaemia in a Patient with Large Bowel Obstruction Secondary to Neuroendocrine Carcinoma of the Prostate. Case Reports in Surgery،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1150084
Modern Language Association (MLA)
Mathuram Thiyagarajan, Umasankar…[et al.]. An Unusual Case of Resistant Hypokalaemia in a Patient with Large Bowel Obstruction Secondary to Neuroendocrine Carcinoma of the Prostate. Case Reports in Surgery No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1150084
American Medical Association (AMA)
Mathuram Thiyagarajan, Umasankar& Ponnuswamy, Amirthavarshini& Bagul, Atul& Gupta, A.. An Unusual Case of Resistant Hypokalaemia in a Patient with Large Bowel Obstruction Secondary to Neuroendocrine Carcinoma of the Prostate. Case Reports in Surgery. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1150084
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1150084