Recovery from severe metabolic alkalosis with acute kidney injury due to gastric cancer: a case report

Hirai, Kentaro; Nagai, Kei; Ono, Takashi; Nakajima, Masayuki; Hayakawa, Tomohiro; Sakata, Yoshihisa; Nakamura, Yoshiharu

doi:10.2185/jrm.2020-025

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2023

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“…Other previous case series also reported instances of acute kidney injury and metabolic alkalosis due to gastric pyloric stenosis, many of which required surgical intervention ( 8 ), in contrast to our patient.…”

Section: Discussionsupporting

confidence: 47%

Acute Kidney Injury with Severe Metabolic Alkalosis Caused by Habitual Vomiting in an Alcohol Abuser with Pyloric Stenosis

et al. 2023

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A 47-year-old man was complaining of consciousness disorder. He had acute kidney injury, hypokalemia, and severe metabolic alkalosis. Initial treatment using intravenous infusion of 0.9% saline and potassium chloride improved his consciousness. It was clarified that he was a severe alcohol abuser who habitually selfvomited. We diagnosed him with volume depletion and pseudo-Bartter's syndrome due to loss of chloride by habitual vomiting. Gastrointestinal endoscopy demonstrated pyloric stenosis, which was ameliorated by Helicobacter pylori eradication therapy. We should consider volume depletion and pseudo-Bartter's syndrome as differential diagnoses when we encounter patients with acute kidney injury and severe metabolic alkalosis.

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Section: Discussionsupporting

confidence: 47%