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Canadian Journal of Gastroenterology
Volume 23 (2009), Issue 10, Pages 689-690
http://dx.doi.org/10.1155/2009/986524
Brief Communication

Ileocolic Perforation Secondary to Sodium Polystyrene Sulfonate in Sorbitol Use: A Case Report

Vincent Trottier,1 Sébastien Drolet,1 and Mohib W Morcos2

1Department of General Surgery, Centre Hospitalier Affilié Universitaire de Québec, Pavillon l’Enfant-Jésus, Quebec City, Quebec, Canada
2Department of Pathology, Centre Hospitalier Affilié Universitaire de Québec, Pavillon l’Enfant-Jésus, Quebec City, Quebec, Canada

Received 21 November 2008; Accepted 23 November 2008

Copyright © 2009 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Hyperkalemia is a common condition encountered in medical and surgical patients. It can lead to various complications including cardiac arrhythmias. Sodium polystyrene sulfonate (SPS) in sorbitol is an ion-exchange resin that can be used to treat hyperkalemia. It can be used in enema or in oral form. The present article describes the case of an intensive care unit patient who experienced severe, diffuse, intestinal perforation induced by the use of SPS-sorbitol, requiring multiple laparotomies, followed by a brief review of the relevant literature and recommendations regarding the use of SPS-sorbitol.