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Case Reports
. 1978 Jun;11(6):588-90.
doi: 10.1016/0090-4295(78)90008-0.

Fatal complication of intravesical formalin during control of intractable hemorrhage from radiation cystitis

M S Rao, P C Singhal, B C Bapna, S Vaidyanathan, K S Chugh, V N Bhat, T K Dutta, C L Gupta
Case Reports

Fatal complication of intravesical formalin during control of intractable hemorrhage from radiation cystitis

M S Rao et al. Urology. 1978 Jun.

Abstract

Fatal acute tubular necrosis occurred in 1 patient in whom intravesical formalin was used to control massive persistent hemorrhage from radiation cystitis. A suggestion is made to monitor blood formic acid levels and institute prompt dialysis whenever these exceed 80 mg. per 100 ml. to avert such a catastrophe. Intravenous sodium bicarbonate appears to be indicated prophylactically in combating the associated metabolic acidosis due to absorbed formic acid.

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