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Slow-release potassium and perforation of Meckel's diverticulum

Layer, G.T.; Scott-Jupp, R.H.; Maitra, T.K.; Darke, S.G.

Postgraduate Medical Journal 63(737): 211-212

1987

ISSN/ISBN: 0032-5473
PMID: 3671262
DOI: 10.1136/pgmj.63.737.211
Accession: 041381318
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A case of peritonitis following perforation of gastric-type mucosa in a Meckel's diverticulum is described. At laparotomy a wax core of a combined diuretic-slow-release potassium preparation was found extruding through the perforation and a further pellet was found free in the peritoneal cavity. Intestinal perforation due to potassium-containing drugs is recognized and led to the development of enteric-coated and slow-release delivery systems. The association of perforation of Meckel's diverticulum with a slow-release potassium perforation has not previously been described.

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Related References

Abramson, D.J. 1960: Perforation of Meckel's diverticulum, peritonitis, and intestinal obstruction in the newborn with survival. Meckel's diverticulum in siblings American Journal of Diseases of Children 10: 277-281
Walsh, P.V. 1980: Slow-release iron tablet and gangrene of meckel's diverticulum British Journal of Clinical Practice 34(8-9): 258
Horn, R.C.; Rhoads, J.E. 1944: Regional Enteritis Involving Meckel's Diverticulum Perforation of the Diverticulum and Fistula Formation Annals of Surgery 119(2): 274-278
Farquharson-Roberts, M.A.; Giddings, A.E.; Nunn, A.J. 1975: Perforation of small bowel due to slow release potassium chloride (slow-K) British Medical Journal 3(5977): 206
Siderys, H.; Linden, P. 1986: Hazards of Slow K. Small bowel perforation following slow release potassium chloride therapy Indiana Medicine: the Journal of the Indiana State Medical Association 79(4): 340
Yousri, B.; Merini, M.F.; Sadraoui, A. 1994: Péritonite par perforation d'un diverticule du grêle (autre que Meckel) - Perforation and peritonitis of a non-meckelian jejunal diverticulum Revue Marocaine de Medecine et Sante 16(2): 54-56
Papo, T.; Piette, J.C.; Teboul, F.; Etienne, S.; Ziza, J.M.; Godeau, P. 1988: Kaléorid et perforation du grêle: démonstration anatomique - Jejunal perforation and slow-release potassium chloride (Kaleorid). An anatomically documented case la Semaine des Hopitaux de Paris 64(3): 171-172
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