2014, Cilt 40, Sayı 1, Sayfa(lar) 027-029

Hyperchloremic Metabolic Acidosis Occur After Ureterosigmoidostomy: A Case Report
Emel IŞIKTAŞ SAYILAR1, Mürşide Esra DÖLARSLAN2, Yavuz AYAR1, Mahmut YAVUZ1
1 Uludağ Üniversitesi Tıp Fakültesi, İç Hastalıkları Ana Bilim Dalı, Nefroloji Bilim Dalı, Bursa.
2 Uludağ Üniversitesi Tıp Fakültesi, İç Hastalıkları Ana Bilim Dalı, Bursa
Keywords: Ureterosigmoidostomy. Metabolic acidosis. Hypokalemia

Intestine is used in urological surgery for bladder augmentation as well as for ureter and genital reconstruction purposes. These operations are successfully performed in young patients as well as in elderly patients through modern reconstructive techniques. Many complications may however occur during post-operative period. Electrolyte disturbances, abnormal drug metabolism, infection, stone formation, nutrition disturbances, growth disturbances, osteomalacia and cancer development are among these complications. In this case report, we present a patient at the age of 30 with history of cystectomy and ureterosigmoidostomy performed at the age of 3. he has been diagnosed having hypokalemic hyperchloremic metabolic acidosis and he is presented to us with complaint of muscle weakness and numbness lasting since 1 month of age.