27 July 2022: Articles
Fatal Sequelae of Reperfusion Injury in Postoperative Gastric Bypass
Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment
Zachary J. Naser A* , Karleigh R. Curfman A , Meaghan M. Marley A , D’Arcy N. Duke ADOI: 10.12659/AJCR.936270
Am J Case Rep 2022; 23:e936270
Table 1. Trend of laboratory values over the hospital course.Representation of patient’s laboratory values over the course of the hospital stay, displaying her acidosis, renal disease, electrolyte imbalance, and rhabdomyolysis.
| Test | Values | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 0 hours | 7 hours | 12 hours | 13 hours | 19 hours | 23 hours | 28 hours | 35 hours | 40 hours | 45 hours | |
| White blood cell | 14.7 | 19.9 | 22.8 | 20.8 | 17.7 | 13.0 | 10.4 | |||
| Platelets | 331 | 223 | 131 | 135 | 123 | 89 | 65 | |||
| Lactic acid | 17.0 | 8.5 | 12.3 | 17.5 | 13.1 | 18.0 | 12.8 | 12.1 | 17.3 | 14.2 |
| pH | 7.19 | 7.25 | 7.09 | 7.11 | 7.21 | 7.37 | 7.28 | 7.31 | ||
| Base excess | −16.4 | −17.3 | −19.1 | −18.0 | −14.8 | −9.3 | −14.0 | −13.0 | ||
| Bicarbonate | 10 | 9 | 9 | 10 | 12 | 15 | 11 | 12 | ||
| Potassium | 4.3 | 4.9 | 4.9 | 4.9 | 5.0 | 5.3 | 5.1 | 5.9 | 6.0 | |
| BUN | 13 | 21 | 22 | 23 | 25 | 12 | 11 | 8 | 6 | |
| Creatinine | 2 | 2.1 | 2.1 | 2.5 | 2.5 | 1.3 | 1.2 | 1.0 | 0.8 | |
| Total CK | 534 | 3110 | 6137 | 6821 | 11961 | |||||
| Myoglobin | 11464 | 10216 | >12000 | 10803.9 | 7868 | >12000 | >12000 | >12000 | ||
| Fibrinogen | 54 | 178 | 126 | |||||||