naa a22 4500 510814395 CHVBK 20180411083458.0 cr unu---uuuuu 180411e20130401xx s 000 0 eng 10.1007/s12328-012-0353-y doi (NATIONALLICENCE)springer-10.1007/s12328-012-0353-y Fatal hypermagnesemia induced by preoperative colon preparation in an elderly woman: report of a case [Elektronische Daten] [Chieko Uchiyama, Takeshi Kato, Kodo Tomida, Rei Suzuki, Ken Nakata, Michiko Hamanaka, Takashi Kanemura, Masaaki Izumi, Shigeyuki Tamura] An 85-year-old woman with rectal carcinoma was referred to our hospital for surgical treatment. She had a history of constipation treated with oral magnesium oxide. She received 34g of magnesium citrate (Magcolol P®) orally for 2days as a mechanical bowel preparation prior to the operation. Just before the operation, she suddenly developed nausea, vomiting, and cyanosis and went into cardiac arrest. Despite support by mechanical ventilation, dopamine, dobutamine, and norepinephrine, she exhibited repeated bradycardia that was nearly fatal and required temporary pacing. The following day, her laboratory tests revealed marked hypermagnesemia (14.3mg/dL). After a hemodialysis session, she recovered dramatically and all vasopressors were withdrawn. We conclude that preoperative mechanical bowel preparation with magnesium-containing cathartics can cause fatal hypermagnesemia in elderly patients even if their renal function is normal. Springer Japan, 2013 Hypermagnesemia nationallicence Dialysis nationallicence Preoperative preparation nationallicence Rectum carcinoma nationallicence Magnesium citrate nationallicence Uchiyama Chieko Department of Surgery, Kansai Rousai Hospital, Hyogo, Japan aut Kato Takeshi Department of Surgery, Kansai Rousai Hospital, Hyogo, Japan aut Tomida Kodo Department of Internal Medicine, Kansai Rousai Hospital, Hyogo, Japan aut Suzuki Rei Department of Surgery, Kansai Rousai Hospital, Hyogo, Japan aut Nakata Ken Department of Surgery, Kansai Rousai Hospital, Hyogo, Japan aut Hamanaka Michiko Department of Surgery, Kansai Rousai Hospital, Hyogo, Japan aut Kanemura Takashi Department of Surgery, Kansai Rousai Hospital, Hyogo, Japan aut Izumi Masaaki Department of Internal Medicine, Kansai Rousai Hospital, Hyogo, Japan aut Tamura Shigeyuki Department of Surgery, Kansai Rousai Hospital, Hyogo, Japan aut Clinical Journal of Gastroenterology Springer Japan 6/2(2013-04-01), 105-110 1865-7257 6:2<105 2013 6 12328 https://doi.org/10.1007/s12328-012-0353-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12328-012-0353-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Uchiyama Chieko Department of Surgery, Kansai Rousai Hospital, Hyogo, Japan aut NATIONALLICENCE 700 1- Kato Takeshi Department of Surgery, Kansai Rousai Hospital, Hyogo, Japan aut NATIONALLICENCE 700 1- Tomida Kodo Department of Internal Medicine, Kansai Rousai Hospital, Hyogo, Japan aut NATIONALLICENCE 700 1- Suzuki Rei Department of Surgery, Kansai Rousai Hospital, Hyogo, Japan aut NATIONALLICENCE 700 1- Nakata Ken Department of Surgery, Kansai Rousai Hospital, Hyogo, Japan aut NATIONALLICENCE 700 1- Hamanaka Michiko Department of Surgery, Kansai Rousai Hospital, Hyogo, Japan aut NATIONALLICENCE 700 1- Kanemura Takashi Department of Surgery, Kansai Rousai Hospital, Hyogo, Japan aut NATIONALLICENCE 700 1- Izumi Masaaki Department of Internal Medicine, Kansai Rousai Hospital, Hyogo, Japan aut NATIONALLICENCE 700 1- Tamura Shigeyuki Department of Surgery, Kansai Rousai Hospital, Hyogo, Japan aut NATIONALLICENCE 773 0- Clinical Journal of Gastroenterology Springer Japan 6/2(2013-04-01), 105-110 1865-7257 6:2<105 2013 6 12328 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer