Extreme hyperkalaemia secondary to malignant ureteric obstruction: Case Report

Abstract

We report a case of a 42 year old patient who collapsed at an airport departure lounge. The patient
was investigated and found to have advanced renal failure with serum potassium (K+) of 10.3
mmol/L, creatinine of 3581 µmol/L and urea of 59.9 mmol/L secondary to obstructive uropathy due
to advanced bladder cancer. Although these biochemical changes were thought to be incompatible
with life, he made a slow recovery following haemodialysis and insertion of bilateral percutaneous
nephrostomy tubes.


The East African Medical Journal Vol. 83 (11) 2006: pp. 637-640