@Article{Pawlik2020,
journal="Pediatria Polska - Polish Journal of Paediatrics",
issn="0031-3939",
volume="95",
number="4",
year="2020",
title="Severe hyperphosphataemia and metabolic acidosis after administration of phosphate-containing enema in a 10-year-old girl – case report and review of literature",
abstract="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.",
author="Pawlik, Weronika
and Drzonek, Patrycja
and Nowak, Katarzyna
and Mokrzycka, Małgorzata
and Zalewska-Szymanowicz, Aleksandra",
pages="258--262",
doi="10.5114/polp.2020.103509",
url="http://dx.doi.org/10.5114/polp.2020.103509"
}