• A&A practice · Dec 2018

    Case Reports

    Severe Disruption of Water and Electrolyte Balance After Appendectomy: A Case Report.

    • Olga Bossong, Christoph Rudin, Gabor Szinnai, Thomas O Erb, and Jens Moll.
    • From the Departments of Anesthesiology.
    • A A Pract. 2018 Dec 1; 11 (11): 299-303.

    AbstractPerioperative 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.

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