Hypermagnesemia caused by fecal-mass obstruction in stenotic rectal cancer following preoperative administration of magnesium citrate
2024

Severe Hypermagnesemia from Fecal-Mass Obstruction in Rectal Cancer

Sample size: 1 publication Evidence: low

Author Information

Author(s): Sato Yuri, Hashiba Eiji, Yamazaki Yuuma, Kato Koudai, Kinoshita Hirotaka, Noguchi Satoko, Kudo Tomoyuki, Hirota Kazuyoshi

Primary Institution: Aomori Prefectural Central Hospital

Hypothesis

Can preoperative magnesium citrate treatment lead to severe hypermagnesemia in patients with rectal stenosis?

Conclusion

High doses of oral magnesium citrate can cause severe hypermagnesemia in patients with colorectal stenosis.

Supporting Evidence

  • The patient developed severe symptoms after taking magnesium citrate.
  • Her magnesium level rose to 17.5 mg/dL, causing serious health issues.
  • Emergency surgery improved her condition and magnesium levels.

Takeaway

Giving too much magnesium to someone with a blocked intestine can make them very sick.

Methodology

Case report of a 78-year-old woman with rectal cancer who developed hypermagnesemia after magnesium citrate treatment.

Limitations

Only one case is reported, limiting generalizability.

Participant Demographics

78-year-old female, height 147 cm, weight 47 kg.

Digital Object Identifier (DOI)

10.1186/s40981-024-00759-4

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