Severe hyponatraemia due to high output external biliary drainage corrected with bile refeeding: A case report

Duminda Subasinghe; Preethi Dassanayake; Ravindri Jayasinghe; Sivatharshya Pathmanathan; Vihara Dassanyake; Sivasuriya Sivaganesh

doi:10.1177/2050313X241237612

SAGE Open Medical Case Reports (Mar 2024)

Severe hyponatraemia due to high output external biliary drainage corrected with bile refeeding: A case report

Duminda Subasinghe,
Preethi Dassanayake,
Ravindri Jayasinghe,
Sivatharshya Pathmanathan,
Vihara Dassanyake,
Sivasuriya Sivaganesh

Affiliations

Duminda Subasinghe: Division of HPB Surgery,Department of Surgery, Faculty of Medicine, University of Colombo , Sri Lanka
Preethi Dassanayake: Department of Endocrinology, The National Hospital of Sri Lanka, Colombo, Sri Lanka
Ravindri Jayasinghe: University Surgical Unit, National Hospital of Sri Lanka, Colombo, Sri Lanka
Sivatharshya Pathmanathan: Department of Endocrinology, The National Hospital of Sri Lanka, Colombo, Sri Lanka
Vihara Dassanyake: Department of Anaesthesiology and Critical Care, Faculty of Medicine,University of Colombo, Sri Lanka
Sivasuriya Sivaganesh: Division of HPB Surgery,Department of Surgery, Faculty of Medicine, University of Colombo , Sri Lanka

DOI: https://doi.org/10.1177/2050313X241237612
Journal volume & issue: Vol. 12

Abstract

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Hyponatraemia is an uncommon complication of external biliary drainage. We report on a 62-year-old male with hilar cholangiocarcinoma who developed refractory severe hyponatraemia despite sodium replacement during preoperative external biliary drainage. Nasojejunal bile refeeding restored sodium levels to normal.

Published in SAGE Open Medical Case Reports

ISSN: 2050-313X (Online)
Publisher: SAGE Publishing
Country of publisher: United States
LCC subjects: Medicine: Medicine (General)
Website: https://journals.sagepub.com/home/sco

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