EJMCR |

Case Report

Volume: 8 | Issue: 4 | Published: May 11, 2024 | Pages: 68 - 71 | DOI: 10.24911/ejmcr.173-1700680736

Intestinal perforation secondary to the use of sodium polystyrene sulfonate, case report.

Authors: Roberto Adriano-Castro , Blas Flor-Lorente , Jorge Sancho-Muriel , Jorge Sancho-Muriel , Francisco Giner Segura

Article Info

Authors

Roberto Adriano-Castro

Colorectal Unit, University Hospital La Fe, Valencia, Spain

Blas Flor-Lorente

Unit, University Hospital La Fe, Valencia, Spain

Jorge Sancho-Muriel

Colorectal Unit, University Hospital La Fe, Valencia, Spain

Jorge Sancho-Muriel

Colorectal Unit, University Hospital La Fe, Valencia, Spain

Francisco Giner Segura

Department of Pathology, University Hospital La Fe, Valencia, Spain

Publication History

Received: November 22, 2023

Revised: October 08, 2024

Accepted: April 16, 2024

Published: May 11, 2024

Abstract

Background: The use of cation exchange resins such as sodium polystyrene sulfonate (SPS) in the treatment of hyperkalemia has been associated with potential damage to the gastrointestinal tract. Case Description: We present a clinical case of a 63-year-old male patient admitted following a single-lung transplant who presented a complex postoperative period associating renal failure and hyperkalemia, therefore administering SPS. 17 days afterward, the patient presented a clinical exacerbation with acute abdominal pain, due to a sigmoid perforation. The patient underwent urgent surgery, performing an open sigmoidectomy and terminal colostomy. The anatomo-pathological study of the surgical specimen revealed abundant SPS crystals in the depth of the colonic wall. Conclusions: Close patient surveillance and a high clinical suspicion are essential to prevent potentially fatal complications from the use of SPS. Due to low incidence of this complication, the evidence in literature is limited to case reports and retrospective studies.

Keywords: Sodium polystyrene sulfonate, Cation exchange resins, Intestinal perforation, green

Pubmed Style

Roberto Adriano-Castro, Blas Flor-Lorente, Jorge Sancho-Muriel, Jorge Sancho-Muriel, Francisco Giner Segura. Intestinal perforation secondary to the use of sodium polystyrene sulfonate, case report.. EJMCR. 2024; 11 (May 2024): 68-71. doi:10.24911/ejmcr.173-1700680736

Web Style

Roberto Adriano-Castro, Blas Flor-Lorente, Jorge Sancho-Muriel, Jorge Sancho-Muriel, Francisco Giner Segura. Intestinal perforation secondary to the use of sodium polystyrene sulfonate, case report.. https://ejmcr.com/articles/1243 [Access: December 25, 2024]. doi:10.24911/ejmcr.173-1700680736

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Roberto Adriano-Castro, Blas Flor-Lorente, Jorge Sancho-Muriel, Jorge Sancho-Muriel, Francisco Giner Segura. Intestinal perforation secondary to the use of sodium polystyrene sulfonate, case report.. EJMCR. (2024), [cited December 25, 2024]; 11 (May 2024): 68-71. doi:10.24911/ejmcr.173-1700680736

Harvard Style

Roberto Adriano-Castro, Blas Flor-Lorente, Jorge Sancho-Muriel, Jorge Sancho-Muriel, Francisco Giner Segura (2024) Intestinal perforation secondary to the use of sodium polystyrene sulfonate, case report.. EJMCR, 11 (May 2024): 68-71. doi:10.24911/ejmcr.173-1700680736

Chicago Style

Roberto Adriano-Castro, Blas Flor-Lorente, Jorge Sancho-Muriel, Jorge Sancho-Muriel, Francisco Giner Segura. "Intestinal perforation secondary to the use of sodium polystyrene sulfonate, case report.." 11 (2024), 68-71. doi:10.24911/ejmcr.173-1700680736

MLA (The Modern Language Association) Style

APA (American Psychological Association) Style

Roberto Adriano-Castro, Blas Flor-Lorente, Jorge Sancho-Muriel, Jorge Sancho-Muriel, Francisco Giner Segura (2024) Intestinal perforation secondary to the use of sodium polystyrene sulfonate, case report.. , 11 (May 2024), 68-71. doi:10.24911/ejmcr.173-1700680736