Syndrome of inappropriate secretion of antidiuretic hormone after total proctocolectomy for ulcerative colitis.
Hyponatremia
Syndrome of inappropriate secretion of antidiuretic hormone
Total proctocolectomy
Ulcerative colitis
Journal
Clinical journal of gastroenterology
ISSN: 1865-7265
Titre abrégé: Clin J Gastroenterol
Pays: Japan
ID NLM: 101477246
Informations de publication
Date de publication:
Feb 2023
Feb 2023
Historique:
received:
12
08
2022
accepted:
16
10
2022
pubmed:
25
10
2022
medline:
3
2
2023
entrez:
24
10
2022
Statut:
ppublish
Résumé
We report a case of the syndrome of inappropriate secretion of antidiuretic hormone (SIADH) after total proctocolectomy followed with ileal pouch-anal anastomosis (TPC-IPAA) for ulcerative colitis (UC). The patient was a 46-year-old woman. She was diagnosed with UC of pancolitis in 2000. High grade dysplasia was detected in the transverse colon after a surveillance colonoscopy in 2021. She underwent laparoscopy-assisted TPC-IPAA. On the sixth postoperative day, she had a decreased level of consciousness that worsened on the following day. Her laboratory data showed a serum sodium level of 108 mEq/L and the plasma osmolality was 234 mOsm/kg. We did not find any other abnormalities in the laboratory examination that could cause hyponatremia. Computed tomography scan showed no central nervous system disturbances such as a pituitary tumor, antidiuretic hormone-producing tumors, or pulmonary diseases. The patient was diagnosed with Syndrome of inappropriate secretion of antidiuretic hormone (SIADH) caused by surgical invasion. We started to administer 3% sodium chloride slowly to improve the hyponatremia. Her serum sodium level became normal and stable. Although it is rare for SIADH to be caused by abdominal surgery, if hyponatremia is observed after surgery, the possibility of postoperative SIADH should be considered.
Identifiants
pubmed: 36280658
doi: 10.1007/s12328-022-01725-2
pii: 10.1007/s12328-022-01725-2
doi:
Substances chimiques
Vasopressins
11000-17-2
Sodium
9NEZ333N27
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
63-68Informations de copyright
© 2022. Japanese Society of Gastroenterology.
Références
Lockett J, Berkman KE, Dimeski G, et al. Urea treatment in fluid restriction-refractory hyponatraemia. Clin Endocrinol (Oxf). 2019;90:630–6.
doi: 10.1111/cen.13930
Adrogué HJ, Madias NE. Hyponatremia. N Engl J Med. 2000;342:1581–9.
doi: 10.1056/NEJM200005253422107
Bartter FC, Schwartz WB. The syndrome of inappropriate secretion of antidiuretic hormone. Am J Med. 1967;42:790–806.
doi: 10.1016/0002-9343(67)90096-4
Cornforth BM. SIADH following laparoscopic cholecystectomy. Can J Anaesth. 1998;45:223–5.
doi: 10.1007/BF03012906
Sobin L, Gospodarowicz M, Wittekind CUICC. TNM Classification of Malignant Tumours. 8th ed. Ltd: New York John Wiley and Sons; 2017.
Mifsud S, Schembri EL, Zrinzo A. Syndrome of inappropriate anti-diuretic hormone secretion (SIADH) and posterior cerebral artery ischaemic event: two uncommon complications following posterior fossa decompression. Malta Med J. 2016;28:73–7.
Tzamaloukas AH, Malhotra D, Rosen BH, et al. Principles of management of severe hyponatremia. J Am Heart Assoc. 2013;2: e005199.
doi: 10.1161/JAHA.112.005199
Schwartz WB, Bennett W, Curelop S, et al. A syndrome of renal sodium loss and hyponatremia probably resulting from inappropriate secretion of antidiuretic hormone. Am J Med. 1957;23:529–42.
doi: 10.1016/0002-9343(57)90224-3
Policastro AM. Syndrome of inappropriate antidiuretic hormone following appendectomy: case report. Mil Med. 1983;148:271–2.
doi: 10.1093/milmed/148.3.271
Weber KJ, Pomp A, Gagner M. Syndrome of inappropriate secretion of antidiuretic hormone following laparoscopic inguinal hernia repair. Surg Endosc. 2003;17:832.
Ruan Y, Zhang W, Wang QQ. Inappropriate secretion of antidiuretic hormone: a rare complication after common bile duct exploration. Hepatobiliary Pancreat Dis Int. 2009;8:544–6.
Ahmed M, Pattar J. SIADH following laparoscopic (totally extraperitoneal) inguinal hernia repair. Ann R Coll Surg Engl. 2012;94:e166-167.
doi: 10.1308/003588412X13171221591051
Karakuchi N, Ohmori I, Inoue M, et al. Inappropriate secretion of antidiuretic hormone after pancreatoduodenectomy for pancreatic head cancer: a case report and literature review. Case Rep Oncol. 2021;14:134–40.
doi: 10.1159/000513000
Moses AM. Comments on some clinical implications of the release of adrenocorticotropin and vasopressin by interleukin-6 and other cytokines. J Clin Endocrinol Metab. 1994;79:932–3.
von Bormann B, Weidler B, Dennhardt R, et al. Anesthesia procedure and postoperative ADH secretion. Anaesthesist. 1983;32:177–9.
Berl T, Raz A, Wald H, et al. Prostaglandin synthesis inhibition and the action of vasopressin: studies in man and rat. Am J Physiol. 1977;232:529–37.
Brewster UC, Perazella MA. Proton pump inhibitors and the kidney: critical review. Clin Nephrol. 2007;68:65–72.
doi: 10.5414/CNP68065
Shepshelovich D, Schechter A, Calvarysky B, et al. Medication-induced SIADH: distribution and characterization according to medication class. Br J Clin Pharmacol. 2017;83:1801–7.
doi: 10.1111/bcp.13256
Taguchi R, Numanami H, Furuta C, et al. Two cases of pulmonary adenocarcinoma developing syndrome of inappropriate secretion of antidiuretic hormone (SIADH) postoperatively. J Japan Asso Chest Sur. 2017;31:501–5.
doi: 10.2995/jacsurg.31.501
Kohyama A, Watanabe K, Sugita A, et al. Ulcerative colitis-related severe enteritis: an infrequent but serious complication after colectomy. J Gastroenterol. 2021;56:240–9.
doi: 10.1007/s00535-020-01742-3