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Case Reports
. 2017 Oct-Dec;13(4):491-493.
doi: 10.4183/aeb.2017.491.

OSTEOMALACIA AS A RESULT OF URINARY DIVERSION

M Bilge  1 , M Adas  2 , A Yesilova  3 , Y Gokden  3 , R Y Bayraktarli  4 , A Helvaci  4
Affiliations
Case Reports

OSTEOMALACIA AS A RESULT OF URINARY DIVERSION

M Bilge et al. Acta Endocrinol (Buchar). 2017 Oct-Dec.

Abstract

A 54 years old man, who had undergone a cystectomy and urinary diversion surgery 31 years previously, complained of progressive generalized bone pain, muscle weakness and walking abnormality for six months. Laboratory investigations revealed elevated alkaline phosphatase, high serum chloride level and metabolic acidosis. Osteomalacia was suspected due to clinical and laboratory findings. Osteomalacia due to hyperchloremic metabolic acidosis is a complication of urinary diversion. Regular monitoring of pH, chloride, bicarbonate, and calcium-phosphorus metabolism is therefore essential for early diagnosis and treatment.

Keywords: hyperchloremic metabolic acidosis; osteomalacia; urinary diversion.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Figure 1.
Figure 1.
Urinary division with use of colon (MRI image).
Figure 2.
Figure 2.
Bone scintigraphy (before treatment).
Figure 3.
Figure 3.
Bone scintigraphy (after treatment).
See this image and copyright information in PMC

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