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Polyethylene-glycol Hyponatraemic encephalopathy: case report A 63-year-old woman developed hyponatraemic encephalopathy during treatment with polyethylene-glycol for bowel preparation and colonoscopy [route, dosage and duration of treatment to reaction onset not stated]. The woman was brought to hospital in September 2021 due to loss of appetite for the past month. She had gastric cancer 13 years ago and undergone a radical gastrectomy. She had a 10 year history of ulcerative colitis. She underwent a colonoscopy in combination with her medical history. Before performing colonoscopy, she received solution of polyethylene-glycol with 4.5 litres of water to clean the bowel. She was found unconscious and the following afternoon, she developed seizures and she underwent a series of differential diagnoses. Later, she was shifted to ICU. She was admitted to ICU with a Glasgow Coma Scale (GCS) score of 9/15. Her pupil examination showed equal-sized and reactive to light. Lab tests revealed decreased levels of serum sodium, potassium, chloride and bicarbonate. The blood urea nitrogen and glucose level was elevated. The level of hematocrit decreased from 32.8% to 29.6%. CT scan revealed cer

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Publisher

Springer Science and Business Media LLC

Published

2023

Language

EN

Field

Medicine (Health Sciences)