Hypokalemia associated paralysis and metabolic acidosis in a
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Ureterosigmoidostomy is a surgical procedure in which the ureters are diverted into the sigmoid colon, although it often results in metabolic complications. One of these complications is hypokalemia, which can cause muscular paralysis such as quadriparesis. This diversion technique was previously performed in patients with invasive bladder cancer, bladder exstrophy or urethral trauma. However, this technique is rarely applied now because of the high rate of metabolic complications. Herein, we report an interesting case of ureterosigmoidostomy associated hypokalemia, quadriparesis, intestinal paralysis and hyperchloremic metabolic acidosis...

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