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ISSN: 0031-3939
Pediatria Polska - Polish Journal of Paediatrics
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4/2020
vol. 95
 
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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
DOI: https://doi.org/10.5114/polp.2020.103509
Online publish date: 2021/01/30
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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