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eISSN: 2300 - 8660
ISSN: 0031-3939
Pediatria Polska - Polish Journal of Paediatrics
Bieżący numer Archiwum Artykuły zaakceptowane O czasopiśmie Rada naukowa Bazy indeksacyjne Kontakt Zasady publikacji prac Standardy etyczne i procedury
Panel Redakcyjny
Zgłaszanie i recenzowanie prac online
SCImago Journal & Country Rank
4/2020
vol. 95
 
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Opis przypadku

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
Pediatr Pol 2020; 95(4): 258–262
Data publikacji online: 2021/01/30
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Metryki PlumX:


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.