ArticleAnnals of medicine and surgery (2012)2025
Post-abdominal hysterectomy complications: hypokalemic nephropathy due to enterocutaneous fistula - a case report.
Article in Annals of medicine and surgery (2012), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction and importance: Hypokalemic nephropathy is a rare but serious complication of enterocutaneous fistulas (ECFs), particularly following abdominal surgery. This case highlights the importance of recognizing and managing electrolyte imbalances to prevent renal dysfunction. Case presentation: A 57-year-old woman developed an ECF 6 days after undergoing total abdominal hysterectomy for uterine fibroids. She presented with severe hypokalemia (serum potassium 2.7 mmol/L) and polyuria, leading to hypokalemic nephropathy. The patient was treated with aggressive potassium supplementation and an ileo-colostomy. Over 10 days, her potassium levels normalized, and renal function improved. Clinical Discussion: This case illustrates the risk of renal dysfunction due to hypokalemia in patients with ECFs. Early recognition and prompt management are crucial to avoid life-threatening complications. Conclusion: A multidisciplinary approach and timely intervention in ECFs are vital to prevent complications like hypokalemic nephropathy and ensure renal recovery.
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