Lithium-induced Perioperative Diabetes Insipidus

A Case Report

Authors

  • Yaiza Beatriz Molero Díez Residente de Anestesiología y Reanimación, Hospital Virgen de la Concha, Zamora https://orcid.org/0000-0003-0419-5979
  • María Gómez Fernández Licenciada Especialista en Anestesiología y Reanimación, Hospital Virgen de la Concha, Zamora
  • Francisco García Lázaro Licenciado Especialista en Anestesiología y Reanimación, Hospital Virgen de la Concha, Zamora

DOI:

https://doi.org/10.30445/rear.v12i2.817

Keywords:

Pyloric Stenosis, Polyuria, Hypernatremia, Nephrogenic diabetes insipidus, Lithium

Abstract

Diabetes insipidus is a pathology characterized by the elimination of large amounts of dilute urine. The antidiuretic hormone is responsible of water reabsorption in medullary collecting duct in the kidney. There are two main types of diabetes insipidus, on one hand the neurogenic or central diabetes insipidus and on the other hand the nephrogenic or secondary diabetes insipidus, depending on the level that is affected. Several drugs have been related to loss of renal concentrating mechanism, being the lithium one of them. We present a case report of a patient undergoing surgery for benign pyloric stenosis in pharmacological long-term maintenance treatment of bipolar disorder with lithium. During the intraoperative period the patient began with high urine output and diabetes insipidus was suspected.

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Published

2020-09-10

How to Cite

Molero Díez, Y. B., Gómez Fernández, M., & García Lázaro, F. (2020). Lithium-induced Perioperative Diabetes Insipidus: A Case Report. Revista Electrónica AnestesiaR, 12(2), 1. https://doi.org/10.30445/rear.v12i2.817

Issue

Vol. 12 No. 2 (2020): Revista Electrónica de AnestesiaR

Section

Clinical case reports

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