Methemoglobinemia in the postoperative period against the background of taking Almagel (clinical case)
https://doi.org/10.33878/2073-7556-2023-22-3-129-133
Abstract
Methemoglobinemia were recorded in two patients with intestinal paresis and gastrostasis in the early postoperative period and unauthorized intake of Almagel by patients for the relief of heartburn.
In the presented cases, drugs that can cause methemoglobinemia were used in the treatment: ropivacaine, metoclopramide, ketoprofen. Nevertheless, taking into account the pairing of the presented cases, it is impossible to exclude the effect of the drug Almagel on methemoglobin genesis.
CONCLUSION: the presented cases demonstrate manifestations of rare and poorly recognized drug methemoglobinemia, probably as a result of taking the antacid drug Almagel. Timely diagnosis and treatment of this condition ensures the rapid reversibility of a complex multifactorial biochemical process.
About the Authors
Artem V. Volkov
State Budgetary Healthcare Institution Research Institute – Regional Clinical Hospital № 1 named after S.V. Ochapovsky; Kuban State Medical University, Ministry of Health Care of Russian Federation, Surgery Department for Advanced Training and Professional Retraining of Specialists
Russian Federation
Russian Federation
Artem V. Volkov — Candidate of Medical Sciences, coloproctologist; Associate Professor of the Department of General Surgery
1 May st., 167, Krasnodar, 350086
Sedina st., 4, Krasnodar, 350063
V. V. Polovinkin
State Budgetary Healthcare Institution Research Institute – Regional Clinical Hospital № 1 named after S.V. Ochapovsky; Kuban State Medical University, Ministry of Health Care of Russian Federation, Surgery Department for Advanced Training and Professional Retraining of Specialists
Russian Federation
Russian Federation
Vadim V. Polovinkin — MD, Head of the Department of Coloproctology; Head of the Department of General Surgery
1 May st., 167, Krasnodar, 350086
Sedina st., 4, Krasnodar, 350063
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Review
For citations:
Volkov A.V., Polovinkin V.V. Methemoglobinemia in the postoperative period against the background of taking Almagel (clinical case). Koloproktologia. 2023;22(3):129-133. https://doi.org/10.33878/2073-7556-2023-22-3-129-133
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