Korean J Gastrointest Endosc.
2009 Sep;39(3):169-171.
Acute Hyponatremic Encephalopathy after Ingestion of Polyethylene Glycol Solution before Colonoscopy
- Affiliations
-
- 1Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea. jgkimd@cau.ac.kr
Abstract
- Preparation for colonoscopy involves a thorough cleansing of the large bowel. Cleansing is performed using several methods, including ingestion of 4 liters of polyethylene glycol solution. However, these methods can induce hyponatremia by various mechanisms. Severe or rapidly progressing hyponatremia can result in the swelling of the brain, and the symptoms of hyponatremia are mainly neurological. Recently, we encountered a 41-year-old woman who developed acute hyponatremia with encephalopathy after undergoing bowel preparation for colonoscopy. She presented with general weakness, nausea, headache, agitation, delusions, and slurred speech one day after the ingestion of polyethylene glycol solution. Her serum sodium level was very low (110 to 115 mEq/L). Her symptoms pertaining to hyponatremia continued to persist for more than 2 days despite continuous intravenous administration of hypertonic saline for the correction of hyponatremia.
Keyword
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Hyponatremic Encephalopathy Following a Sulfate Free Polyethylene Glycol-based Bowel Preparation for Colonoscopy
- Acute Renal Failure Caused by Oral Polyethylene Glycol Ingestion
- A Randomized Prospective Trial Comparing a New Polyethylene Glycol Based Lavage Solution with the Standard Polyethylene Glycol Solution in the Preparation of Patients Undergoing Colonoscopy (Clinical trial of new PEG solution in bowel preparation)
- Two Cases of Mallory-Weiss Syndrome During Bowel Preparation for Colonoscopy
- Anaphylactic Shock Caused by Ingestion of Polyethylene Glycol
