Development of Severe Hyponatremia due to Salt-Losing Nephropathy after Esophagectomy for Esophageal Cancer
Joint Authors
Sano, Soichi
Yamagami, Keiko
Yoshioka, Katsunobu
Nishio, Minako
Sakurai, Katsunobu
Yamashita, Yoshito
Source
Issue
Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2009-10-28
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
A 72-year-old woman was admitted to our hospital for esophagectomy for esophageal cancer.
On the third postoperative day, she developed polyuria (3.8 L/day), massive natriuresis, hyponatremia (112 mEq/L), hyperkalemia (5.6 mEq/L), and decreased central venous pressure, which was refractory to isotonic saline infusion.
Laboratory findings indicated proximal tubular injury (high urinary β2-microglobulin, coexistence of hypouricemia) together with reduced aldosterone action at the cortical collecting duct.
A diagnosis of salt-losing nephropathy was made and sodium correction was done with 3% saline and fludrocortisone.
She responded well to therapy.
The cause of hyponatremia was considered renal tubular dysfunction together with elevated antidiuretic hormone level.
Postoperatively, it is important to look for the development of salt-losing nephropathy.
American Psychological Association (APA)
Yoshioka, Katsunobu& Nishio, Minako& Sano, Soichi& Sakurai, Katsunobu& Yamagami, Keiko& Yamashita, Yoshito. 2009. Development of Severe Hyponatremia due to Salt-Losing Nephropathy after Esophagectomy for Esophageal Cancer. Case Reports in Medicine،Vol. 2009, no. 2009, pp.1-4.
https://search.emarefa.net/detail/BIM-456611
Modern Language Association (MLA)
Yoshioka, Katsunobu…[et al.]. Development of Severe Hyponatremia due to Salt-Losing Nephropathy after Esophagectomy for Esophageal Cancer. Case Reports in Medicine No. 2009 (2009), pp.1-4.
https://search.emarefa.net/detail/BIM-456611
American Medical Association (AMA)
Yoshioka, Katsunobu& Nishio, Minako& Sano, Soichi& Sakurai, Katsunobu& Yamagami, Keiko& Yamashita, Yoshito. Development of Severe Hyponatremia due to Salt-Losing Nephropathy after Esophagectomy for Esophageal Cancer. Case Reports in Medicine. 2009. Vol. 2009, no. 2009, pp.1-4.
https://search.emarefa.net/detail/BIM-456611
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-456611