Open AccessBowel preparation agent inducing profound shock precolonoscopy
Author(s) -
Angus Loraine
Publication year - 2020
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2019-233406
Subject(s) - medicine , colonoscopy , shock (circulatory) , intensive care unit , intensive care , vasopressin , vomiting , epinephrine , inflammatory bowel disease , intensive care medicine , septic shock , anesthesia , disease , sepsis , colorectal cancer , cancer
A 73-year-old woman was admitted to the intensive care unit following vomiting and diarrhoea onset after completing oral bowel preparation prior to colonoscopy to investigate haematochezia. She had a history of severe chronic obstructive pulmonary disease, Crohn's disease, diverticular disease, hypertension and dyslipidaemia. She was resuscitated with intravenous fluids, antibiotics and required epinephrine, norepinephrine and vasopressin infusions. She improved over her 4-day intensive care admission and was discharged to the general medical ward, but ultimately died 19 days after presentation.