Hyponatraemia-induced bowel oedema

Case contributed by Hadiel Kaiyasah
Diagnosis probable

Presentation

A 45-year-old male, known case of bipolar disease on lithium, he presented with picture of symptomatic hyponatraemia, in the form of seizures. His serum sodium was 95 mmol/L. CT abdomen with contrast was done as part from the workup for his hyponatraemia.

Patient Data

Age: 45
Gender: Male

Jejunal wall thickening with enhancement in some of the bowel loops

Case Discussion

Patient was admitted to intensive care unit, where his isolated hyponatraemia was investigated and managed accordingly. His abdomen remained lax. All inflammatory markers where within normal limits. Over a period of 72 hours, the patient had shown clinical and biochemical improvement in his isolated hyponatraemia.

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