[A case of metabolic acidosis and tetany after ileal neobladder replacement].

@article{Nomura2013ACO,
  title={[A case of metabolic acidosis and tetany after ileal neobladder replacement].},
  author={Hironori Nomura and Yohko Kou and Takanori Kinjyo and Daichi Nonomura and Suguru Yoneda and Yoshiyuki Itami-shi Yamamoto and Norihide Tei and Shingo Takada and Kiyomi Matsumiya},
  journal={Hinyokika kiyo. Acta urologica Japonica},
  year={2013},
  volume={59 8},
  pages={
          535-8
        }
}
A 64-year-old man visited our hospital with the complaint of macrohematuria and bilateral hydronephrosis. He had undergone total cystectomy and ileal neobladder replacement under the diagnosis of muscle invasive bladder cancer (cT2bN0M0). Tetany due to hyperventilation syndrome appeared on postoperative day 42. Blood gas analysis showed metabolic acidosis (pH 7.260, pO2 148.1 mmHg, pCO2 20.7 mmHg, HCO3 9.1 mmHg, BE -16.0 mmol/l). His condition was immediately improved after a urethral catheter… CONTINUE READING

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