Work

Post-abdominal hysterectomy complications: hypokalemic nephropathy due to enterocutaneous fistula – a case report

Year: 2025

Type: article

Abstract: Introduction and importance: Hypokalemic nephropathy is a rare but serious complication of enterocutaneous fistulas (ECFs), particularly following abdominal surgery. This case highlights the importance of recognizing and managing electrolyte imbalances to prevent renal dysfunction. Case presentation: A 57-year-old woman developed an ECF 6 days after undergoing total abdominal hysterectomy for uterine fibroids. She presented with severe hypokalemia (serum potassium 2.7 mmol/L) and polyuria, leading to hypokalemic nephropathy. The patient was treated with aggressive potassium supplementation and an ileo-colostomy. Over 10 days, her potassium levels normalized, and renal function improved. Clinical Discussion: This case illustrates the risk of renal dysfunction due to hypokalemia in patients with ECFs. Early recognition and prompt management are crucial to avoid life-threatening complications. Conclusion: A multidisciplinary approach and timely intervention in ECFs are vital to prevent complications like hypokalemic nephropathy and ensure renal recovery.

Source: Annals of Medicine and Surgery

DOI: 10.1097/ms9.0000000000003512

Authors: Hafiz Muhammad Hamza, Areeba Ahsan, Naveed Ullah Khan, Ayaz Ahmed Awan, Deepak Rai, Muhammad Daoud Tariq

Institutions: Foundation University Islamabad, Foundation University Medical College, Government of Pakistan

Language: English

Topic: Abdominal Surgery and Complications

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,850