Deterioration of Chronic Renal Dysfunction and Serum Electrolyte Disorders Associated with Massive Ileostomy Effluent

Yoshiaki NISHIOKA; Masanobu MIYAZAKI; Satoko KITAMURA; Akira FURUSU; Tomoya NISHINO; Yumiko BANDO; Hajime ISOMOTO; Yohei MIZUTA; Kunihiko MURASE; Takashi HARADA; Shigeru KOHNO

doi:10.11343/amn.49.149

CASE REPORTS

Deterioration of Chronic Renal Dysfunction and Serum Electrolyte Disorders Associated with Massive Ileostomy Effluent

Yoshiaki NISHIOKA, Masanobu MIYAZAKI, Satoko KITAMURA, Akira FURUSU, Tomoya NISHINO, Yumiko BANDO, Hajime ISOMOTO, Yohei MIZUTA, Kunihiko MURASE, Takashi HARADA, Shigeru KOHNO

Author information

Yoshiaki NISHIOKA
Second Department of Internal Medicine, Nagasaki University School of Medicine
Masanobu MIYAZAKI
Second Department of Internal Medicine, Nagasaki University School of Medicine
Satoko KITAMURA
Second Department of Internal Medicine, Nagasaki University School of Medicine
Akira FURUSU
Second Department of Internal Medicine, Nagasaki University School of Medicine
Tomoya NISHINO
Second Department of Internal Medicine, Nagasaki University School of Medicine
Yumiko BANDO
Second Department of Internal Medicine, Nagasaki University School of Medicine
Hajime ISOMOTO
Second Department of Internal Medicine, Nagasaki University School of Medicine
Yohei MIZUTA
Second Department of Internal Medicine, Nagasaki University School of Medicine
Kunihiko MURASE
Second Department of Internal Medicine, Nagasaki University School of Medicine
Takashi HARADA
Renal Care Unit, Nagasaki University Hospital of Medicine and Dentistry
Shigeru KOHNO
Second Department of Internal Medicine, Nagasaki University School of Medicine

Keywords: Ileostomy, Dehydration, Electrolyte disorders, Metabolic alkalosis, Deterioration of chronic renal dysfunction

JOURNAL FREE ACCESS

2004 Volume 49 Issue 4 Pages 149-151

DOI https://doi.org/10.11343/amn.49.149

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Abstract

A 27-year-old man with a 16-year history of Crohn's disease was referred to our hospital because of general fatigue and electrolyte disorders. The past medical history included chronic renal dysfunction due to renal amyloidosis and permanent ileostomy performed 2 years earlier. Laboratory findings on admission showed hypochloremia, hypokalemia, metabolic alkalosis, and acute deterioration of chronic renal dysfunction. The above disorders were considered to be due to dehydration caused by excessive loss of fluid and electrolyte from the ileostomy. Dehydration and electrolyte disorders were corrected by proper rehydration, which also improved renal dysfunction to the basal level. Although renal failure due to massive ileostomy effluent is rare, clinicians should be aware of possible dehydration in ileostomists, and treat such patients with water and electrolyte.

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