Two cases of pseudohyperkalemia that occurred after emergency splenectomy, what goes up, will come down

Pseudohyperkalemia is a spuriously high serum potassium measurement in a patient with no clinical evidence of hyperkalemia. It has been reported to occur in patients with leukocytosis and thrombocytosis. Only a few cases of pseudohyperkalemia have been reported in patients after splenectomy. Two cas...

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Main Authors: Tan GH, Nor Faezan AR, Hairol AO, Bong JJ
Format: Article
Language:en
Published: Department of Surgery, UKM Medical Centre 2011
Online Access:http://journalarticle.ukm.my/810/1/37-39.pdf
http://journalarticle.ukm.my/810/
http://jsurgacad.com/
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author Tan GH,
Nor Faezan AR,
Hairol AO,
Bong JJ,
author_facet Tan GH,
Nor Faezan AR,
Hairol AO,
Bong JJ,
author_sort Tan GH,
building Tun Sri Lanang Library
collection Institutional Repository
content_provider Universiti Kebangsaan Malaysia
content_source UKM Journal Article Repository
continent Asia
country Malaysia
description Pseudohyperkalemia is a spuriously high serum potassium measurement in a patient with no clinical evidence of hyperkalemia. It has been reported to occur in patients with leukocytosis and thrombocytosis. Only a few cases of pseudohyperkalemia have been reported in patients after splenectomy. Two cases of pseudohyperkalemia occurring after emergency splenectomy for abdominal trauma are presented to highlight their clinical presentation and sequalae. Consecutive patients who underwent emergency splenectomy for trauma and subsequently developed pseudohyperkalemia were monitored in Universiti Kebangsaan Malaysia Medical Centre for their clinical sequalae. Both the patients developed leukocytosis, thrombocytosis and high serum potassium level within 2-weeks of their splenectomies. They did not demonstrate any symptoms and signs of hyperkalemia. Their conditions resolved spontaneously without any specific treatment. Pseudohyperkalemia should be suspected in a similar clinical scenario to avoid unnecessary treatment that could lead to severe hypokalemia.
format Article
id my-ukm.journal-810
institution Universiti Kebangsaan Malaysia
language en
publishDate 2011
publisher Department of Surgery, UKM Medical Centre
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spelling my-ukm.journal-8102016-12-14T06:28:14Z http://journalarticle.ukm.my/810/ Two cases of pseudohyperkalemia that occurred after emergency splenectomy, what goes up, will come down Tan GH, Nor Faezan AR, Hairol AO, Bong JJ, Pseudohyperkalemia is a spuriously high serum potassium measurement in a patient with no clinical evidence of hyperkalemia. It has been reported to occur in patients with leukocytosis and thrombocytosis. Only a few cases of pseudohyperkalemia have been reported in patients after splenectomy. Two cases of pseudohyperkalemia occurring after emergency splenectomy for abdominal trauma are presented to highlight their clinical presentation and sequalae. Consecutive patients who underwent emergency splenectomy for trauma and subsequently developed pseudohyperkalemia were monitored in Universiti Kebangsaan Malaysia Medical Centre for their clinical sequalae. Both the patients developed leukocytosis, thrombocytosis and high serum potassium level within 2-weeks of their splenectomies. They did not demonstrate any symptoms and signs of hyperkalemia. Their conditions resolved spontaneously without any specific treatment. Pseudohyperkalemia should be suspected in a similar clinical scenario to avoid unnecessary treatment that could lead to severe hypokalemia. Department of Surgery, UKM Medical Centre 2011-04-04 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/810/1/37-39.pdf Tan GH, and Nor Faezan AR, and Hairol AO, and Bong JJ, (2011) Two cases of pseudohyperkalemia that occurred after emergency splenectomy, what goes up, will come down. Journal of Surgical Academia, 1 (1). pp. 37-39. ISSN 2231-7481 http://jsurgacad.com/
spellingShingle Tan GH,
Nor Faezan AR,
Hairol AO,
Bong JJ,
Two cases of pseudohyperkalemia that occurred after emergency splenectomy, what goes up, will come down
title Two cases of pseudohyperkalemia that occurred after emergency splenectomy, what goes up, will come down
title_full Two cases of pseudohyperkalemia that occurred after emergency splenectomy, what goes up, will come down
title_fullStr Two cases of pseudohyperkalemia that occurred after emergency splenectomy, what goes up, will come down
title_full_unstemmed Two cases of pseudohyperkalemia that occurred after emergency splenectomy, what goes up, will come down
title_short Two cases of pseudohyperkalemia that occurred after emergency splenectomy, what goes up, will come down
title_sort two cases of pseudohyperkalemia that occurred after emergency splenectomy, what goes up, will come down
url http://journalarticle.ukm.my/810/1/37-39.pdf
http://journalarticle.ukm.my/810/
http://jsurgacad.com/
url_provider http://journalarticle.ukm.my/