Çiğdem ÖZBAŞLI-LEVİ, Mehmet DÜNDAR, Harun AKAR, Haluk EROL

MESANE KARSİNOMUNA SEKONDER JEJUNOVEZİKAL FİSTÜLE BAĞLI ŞİDDETLİ METABOLİK ASİDOZ

Anahtar Kelimeler:

jejunovezikal fistül, hiperkloremik metabolik asidoz, mesane karsinomu

Severe Metabolik Acidosis Secondary to Jejunovesical Fistula in a Patient with Carsinoma of the Urinary Bladder

Several complications can arise when intestinal mucosa comes in contact with urine in patients with urinary reconstruction using intestinal segments or intestinovesical fistulas. The most important ofthese complications is hyperchloremic metabolic acidosis. It has been shown that the acidosis is mainly a result of ammonium reabsorption with a much smaller contribution of bicarbonate secretion by intestinal mucosa. In this report, a patient with jejunovesical fistula secondary to carsinoma of the bladder with severe metabolic acidosis is presented and pathophysiology of the metabolic derangements is reviewed.

Keywords:

Jejunovesical fistula, hyperchloremic metabolic acidosis, carsinoma of bladder,

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