Severe Disruption of Water and Electrolyte Balance After Appendectomy: A Case Report. Issue 11 (1st December 2018)

• Record Type: Journal Article
• Authors: Bossong, Olga; Rudin, Christoph; Szinnai, Gabor; Erb, Thomas O.; Moll, Jens
• Is Part Of: A & A practice. Volume 11:Issue 11(2018)
• Publication Date: 2018-12-01
• Subjects: Analgesia -- Periodicals; Analgesia -- Case studies -- Periodicals; Anesthesiology -- Periodicals; Anesthesiology -- Case studies -- Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000000812
• Languages: English
• ISSNs: 2575-3126

Abstract

Abstract : Perioperative derangements of fluid and electrolyte homeostasis are rare complications in healthy children. Nonetheless, early diagnosis and treatment are mandatory to avoid a potentially life-threatening situation. However, the variety of underlying pathologies may prove to make accurate diagnosis challenging. This case report presents the management of an unexpected occurrence of a perioperative partial diabetes insipidus with massive fluid loss. Diagnostic and therapeutic procedures are discussed in the context of laboratory findings, and an overview of the existing literature is given. Finally, we emphasize that a multidisciplinary approach is most appropriate for diagnosis, accurate treatment, and follow-up of the patient.