en POLSKI
eISSN: 2300-8660
ISSN: 0031-3939
Pediatria Polska - Polish Journal of Paediatrics
Current issue Archive Manuscripts accepted About the journal Editorial board Abstracting and indexing Contact Instructions for authors Ethical standards and procedures
Editorial System
Submit your Manuscript
SCImago Journal & Country Rank
4/2020
vol. 95
 
Share:
Share:
abstract:
Case report

Severe hyperphosphataemia and metabolic acidosis after administration of phosphate-containing enema in a 10-year-old girl – case report and review of literature

Weronika Pawlik
1
,
Patrycja Drzonek
1
,
Katarzyna Nowak
1
,
Małgorzata Mokrzycka
2
,
Aleksandra Zalewska-Szymanowicz
2

  1. Students’ Scientific Association of Paediatric Gastroenterology, Department of Paediatrics, Haemato-Oncology, and Gastroenterology, Pomeranian Medical University, Szczecin, Poland
  2. Department of Paediatrics, Haemato-Oncology, and Gastroenterology, Pomeranian Medical University, Szczecin, Poland
Online publish date: 2021/01/30
View full text Get citation
 
PlumX metrics:
Constipation is among the most common complaints in GPs’ offices, affecting over 10% of children reporting to the doctor [1]. Due to the COVID-19 pandemic, access to specialist care has become difficult, which has led to neglect of diagnosis and managing chronic diseases. We present a case of a 10-year-old girl admitted to the emergency department (ED) with symptoms of severe constipation and abdominal pain and a history of ongoing constipation and faecal soiling for 6 months. In the ED she was given a sodium-phosphate enema twice. After a few hours she developed life-threatening hyperphosphataemia, hypocalcaemia, and metabolic acidosis. The presented patient presents an example of severe, chronic, and improperly treated constipation with an extremely rare side effect of a sodium-phosphate enema. It is important to underline that monitoring after the procedure and quick and proper treatment, if the mentioned effect occurs, can save the patient’s life.
keywords:

children, telemedicine, constipation, hyperphosphataemia, enema