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...

Full description

Bibliographic Details
Main Authors: Tan GH, Nor Faezan AR, Hairol AO, Bong JJ
Format: Article
Language:English
Published: Department of Surgery, UKM Medical Centre 2011
Online Access:http://journalarticle.ukm.my/810/
http://journalarticle.ukm.my/810/1/37-39.pdf
_version_ 1848809348237623296
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 UKM Institutional Repository
collection Online Access
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.
first_indexed 2025-11-14T23:13:11Z
format Article
id ukm-810
institution Universiti Kebangasaan Malaysia
institution_category Local University
language English
last_indexed 2025-11-14T23:13:11Z
publishDate 2011
publisher Department of Surgery, UKM Medical Centre
recordtype eprints
repository_type Digital Repository
spelling ukm-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/
http://journalarticle.ukm.my/810/
http://journalarticle.ukm.my/810/1/37-39.pdf