Abstract
The case of a child with severe hyperphosphataemia and symptomatic hypocalcaemia secondary to retention of phosphate administered through an antegrade continence enema is reported. Caution should be exercised with the use of phosphate enemas and prompt action taken to remedy retention. The use of glucose with insulin in the emergency management of acute hyperphosphataemia is discussed.
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Selected References
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- Ashton M. R., Sutton D., Nielsen M. Severe magnesium toxicity after magnesium sulphate enema in a chronically constipated child. BMJ. 1990 Feb 24;300(6723):541–541. doi: 10.1136/bmj.300.6723.541-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bell A. M. Colonic perforation with a phosphate enema. J R Soc Med. 1990 Jan;83(1):54–55. doi: 10.1177/014107689008300125. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Davis R. F., Eichner J. M., Bleyer W. A., Okamoto G. Hypocalcemia, hyperphosphatemia, and dehydration following a single hypertonic phosphate enema. J Pediatr. 1977 Mar;90(3):484–485. doi: 10.1016/s0022-3476(77)80723-3. [DOI] [PubMed] [Google Scholar]
- Forman J., Baluarte H. J., Gruskin A. B. Hypokalemia after hypertonic phosphate enemas. J Pediatr. 1979 Jan;94(1):149–151. doi: 10.1016/s0022-3476(79)80383-2. [DOI] [PubMed] [Google Scholar]
- Malone P. S., Ransley P. G., Kiely E. M. Preliminary report: the antegrade continence enema. Lancet. 1990 Nov 17;336(8725):1217–1218. doi: 10.1016/0140-6736(90)92834-5. [DOI] [PubMed] [Google Scholar]
- Malone P. S., Ransley P. G., Kiely E. M. Preliminary report: the antegrade continence enema. Lancet. 1990 Nov 17;336(8725):1217–1218. doi: 10.1016/0140-6736(90)92834-5. [DOI] [PubMed] [Google Scholar]
- Martin R. R., Lisehora G. R., Braxton M., Jr, Barcia P. J. Fatal poisoning from sodium phosphate enema. Case report and experimental study. JAMA. 1987 Apr 24;257(16):2190–2192. [PubMed] [Google Scholar]
- McCabe M., Sibert J. R., Routledge P. A. Phosphate enemas in childhood: cause for concern. BMJ. 1991 May 4;302(6784):1074–1074. doi: 10.1136/bmj.302.6784.1074. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Riley M. S., Schade D. S., Eaton R. P. Effects of insulin infusion on plasma phosphate in diabetic patients. Metabolism. 1979 Mar;28(3):191–194. doi: 10.1016/0026-0495(79)90063-5. [DOI] [PubMed] [Google Scholar]
- Smith I., Carr N., Corrado O. J., Young A. Rectal necrosis after a phosphate enema. Age Ageing. 1987 Sep;16(5):328–330. doi: 10.1093/ageing/16.5.328. [DOI] [PubMed] [Google Scholar]