TWO CASES OF EXTREME HYPERMAGNESEMIA AFTER BOWEL PREPARATION WITH MAGNESIUM CITRATE FOR COLONOSCOPY

DOI
  • IMAZU Noriyuki
    Department of Medicine and Clinical Science, Graduate School of Medial Science, Kyushu University.
  • FUJIOKA Shin
    Department of Endoscopic Diagnosis and Therapeutics, Kyushu University Hospital.
  • OKAMOTO Yasuharu
    Department of Medicine and Clinical Science, Graduate School of Medial Science, Kyushu University.
  • MASUHARA Hiroyuki
    Department of Medicine and Clinical Science, Graduate School of Medial Science, Kyushu University.
  • FUYUNO Yuta
    Department of Medicine and Clinical Science, Graduate School of Medial Science, Kyushu University.
  • HIRANO Atsushi
    Department of Medicine and Clinical Science, Graduate School of Medial Science, Kyushu University.
  • UMENO Junji
    Department of Medicine and Clinical Science, Graduate School of Medial Science, Kyushu University.
  • MORIYAMA Tomohiko
    International Medical Department, Kyushu University Hospital.
  • TORISU Takehiro
    Department of Medicine and Clinical Science, Graduate School of Medial Science, Kyushu University.

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Other Title
  • クエン酸マグネシウム製剤による大腸内視鏡前処置にて著明な高マグネシウム血症を発症した２例

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<p>Two cases of extreme hypermagnesemia occurred after administration of bowel preparation with magnesium citrate for colonoscopy. Neither patient had renal dysfunction but both had a history of bowel resection for treatment of colorectal cancer. Each patient presented with bowel obstruction secondary to fecal impaction at the rectal anastomosis or severe anastomotic stricture at the sigmoid colon. The hypermagnesemia improved in each with the successful release of the bowel obstruction by digital disimpaction or balloon dilation under systemic management. In a patient with a possible intestinal obstruction, the risk of hypermagnesemia incidence with bowel preparation with magnesium products should be considered regardless of renal function.</p>

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