Subasinghe Duminda, Dassanayake Preethi, Jayasinghe Ravindri, Pathmanathan Sivatharshya, Dassanyake Vihara, Sivaganesh Sivasuriya
University Surgical Unit, National Hospital of Sri Lanka, Colombo, Sri Lanka.
Division of HPB Surgery,Department of Surgery, Faculty of Medicine, University of Colombo , Sri Lanka.
SAGE Open Med Case Rep. 2024 Mar 8;12:2050313X241237612. doi: 10.1177/2050313X241237612. eCollection 2024.
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.
低钠血症是体外胆汁引流的一种罕见并发症。我们报告一例62岁男性肝门部胆管癌患者,该患者在术前体外胆汁引流期间尽管补充了钠,但仍发生了难治性严重低钠血症。经鼻空肠胆汁回输使钠水平恢复正常。