Abstract
We report a case of Bartter's Syndrome complicated by rectal cancer, and discuss the perioperative management of Bartter's Syndrome. A 26-year-old woman was admitted because of anemia and hypokalemia. Barium enema examination revealed an apple-core sign in the rectosigmoid region. Adenocarcinoma was diagnosed on the basis of histologic examination of a biopsy specimen. Bartter's Syndrome was suspected because blood pressure was normal, despite markedly elevated levels of plasma renin activity and aldosterone, and hypokalemic metabolic alkalosis was present. Intravenous potassium canrenoate and potassium chloride were given, and after serum potassium levels had returned to normal ränge, anterior resection of the rectum was performed. The patient was given general anesthesia (50% nitrous oxide-oxygen with 0.2% to 1.0% enflurane) and epidural 2% mepivacaine. Postoperatively Bartter's Syndrome was diagnosed on the basis of preoperative findings, impaired vasopressor response to angiotensin II, and evidence of hyperplasia of the juxtaglomerular apparatus in kidney biopsy specimens.
| Original language | English |
|---|---|
| Pages (from-to) | 49-52 |
| Number of pages | 4 |
| Journal | IRYO - Japanese Journal of National Medical Services |
| Volume | 52 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Jan 1 1998 |
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All Science Journal Classification (ASJC) codes
- Medicine(all)
Cite this
A Surgical Case of Rectal Cancer Associated with Bartter's. / Fujii, Masahiro; Wakabayashi, Takeo; Furukawa, Ryoya; Hinokiyama, Kazuhiro; Ishikawa, Masahide; Hirayama, Tsunenori; Niho, Koji; Murakami, Mutsumi; Tanaka, Shigeo.
In: IRYO - Japanese Journal of National Medical Services, Vol. 52, No. 1, 01.01.1998, p. 49-52.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A Surgical Case of Rectal Cancer Associated with Bartter's
AU - Fujii, Masahiro
AU - Wakabayashi, Takeo
AU - Furukawa, Ryoya
AU - Hinokiyama, Kazuhiro
AU - Ishikawa, Masahide
AU - Hirayama, Tsunenori
AU - Niho, Koji
AU - Murakami, Mutsumi
AU - Tanaka, Shigeo
PY - 1998/1/1
Y1 - 1998/1/1
N2 - We report a case of Bartter's Syndrome complicated by rectal cancer, and discuss the perioperative management of Bartter's Syndrome. A 26-year-old woman was admitted because of anemia and hypokalemia. Barium enema examination revealed an apple-core sign in the rectosigmoid region. Adenocarcinoma was diagnosed on the basis of histologic examination of a biopsy specimen. Bartter's Syndrome was suspected because blood pressure was normal, despite markedly elevated levels of plasma renin activity and aldosterone, and hypokalemic metabolic alkalosis was present. Intravenous potassium canrenoate and potassium chloride were given, and after serum potassium levels had returned to normal ränge, anterior resection of the rectum was performed. The patient was given general anesthesia (50% nitrous oxide-oxygen with 0.2% to 1.0% enflurane) and epidural 2% mepivacaine. Postoperatively Bartter's Syndrome was diagnosed on the basis of preoperative findings, impaired vasopressor response to angiotensin II, and evidence of hyperplasia of the juxtaglomerular apparatus in kidney biopsy specimens.
AB - We report a case of Bartter's Syndrome complicated by rectal cancer, and discuss the perioperative management of Bartter's Syndrome. A 26-year-old woman was admitted because of anemia and hypokalemia. Barium enema examination revealed an apple-core sign in the rectosigmoid region. Adenocarcinoma was diagnosed on the basis of histologic examination of a biopsy specimen. Bartter's Syndrome was suspected because blood pressure was normal, despite markedly elevated levels of plasma renin activity and aldosterone, and hypokalemic metabolic alkalosis was present. Intravenous potassium canrenoate and potassium chloride were given, and after serum potassium levels had returned to normal ränge, anterior resection of the rectum was performed. The patient was given general anesthesia (50% nitrous oxide-oxygen with 0.2% to 1.0% enflurane) and epidural 2% mepivacaine. Postoperatively Bartter's Syndrome was diagnosed on the basis of preoperative findings, impaired vasopressor response to angiotensin II, and evidence of hyperplasia of the juxtaglomerular apparatus in kidney biopsy specimens.
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UR - http://www.scopus.com/inward/citedby.url?scp=85024738941&partnerID=8YFLogxK
U2 - 10.11261/iryo1946.52.49
DO - 10.11261/iryo1946.52.49
M3 - Article
AN - SCOPUS:85024738941
VL - 52
SP - 49
EP - 52
JO - IRYO - Japanese Journal of National Medical Services
JF - IRYO - Japanese Journal of National Medical Services
SN - 0021-1699
IS - 1
ER -