The patient was a 44-year-old woman with a history of ex-smoker, hypertension, type 2 diabetes, morbid obesity (BMI 59.19 kg/m2), cholecystectomy, hysterectomy, umbilical hernia repair and cesarean section.
She was referred to general surgery for bariatric surgery using the Larrad technique.
He came to the emergency room two months after the surgery, complaining of recurrent post-pandrial vomiting since discharge and syncope.
Physical examination revealed malaise, signs of hydrosaline depletion, BP 66/48 and CVP 4 cc H2O.
Analytical tests were performed: urea 284 mg/dl, Cr 6.98 mg/dl, Na 119 mmol/l, K 2.4 mmol/l, Cl 65 mmol/l, CRP 4.8 mg/dl venous lactate 24 mmol/l
She was admitted to Nephrology with a diagnosis of prerenal ARF secondary to volume depletion, hyponatremia and hypokalemia.
Hydrosaline replacement and progressive electrolyte correction were initiated, with improvement in renal function, until normalization.
During admission the patient developed respiratory failure and septic shock secondary to respiratory infection.
She was admitted to the intensive care unit and died two months later.
