August 2014 critical care case of the month: the beans are done

Abstract

No abstract available. Article truncated at 150 words. A 68-year-old woman was admitted to the ICU due to acute renal failure in setting of ovarian cancer recurrence. She reports a two week history of abdominal pain with increased, loose ileostomy output, nausea, one episode of vomiting of food returns, and profound increasing generalized weakness. She states she has been voiding urine in normal frequency. She took her most recent dose of Xarelto 20mg the evening prior to presentation. On ICU arrival, she was alert and oriented but pale and underweight with dry mucous membranes. She reported 2/10 generalized abdominal pain. Her blood pressure was stable. PMH: March 2013: Diagnosed with stage IIIC metastatic ovarian cancer. She underwent extensive abdominal surgery including radical hysterectomy, diverting loop ileostomy and cholecystectomy. Final pathology: grade 3 serous carcinoma involving omentum, descending colon, cecum and terminal ileum, both ovaries with implants on bilateral tubes and uterine serosa, right pelvic side wall, right diaphragm ...

Keywords

• rivaroxaban
• hyperkalemia
• acute renal failure
• ultrasound
• dehydration
• volume depletion
• hydronephrosis
• succinylcholine
• ureteral stent
• complication