Hypokalemia Accompanying Hyperchloremic Acidosis after Ureterosigmoidostomy

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Abstract
HYPERCHLOREMIC acidosis is not an unusual finding after ureteroenterostomy,1 being noted in 79 per cent of 141 cases reported by Ferris and Odel.2 Other investigators3 , 4 describe a high incidence in patients whose ureters have been implanted into the bowel. There is still some difference of opinion about the relative importance of deranged kidney function versus intestinal reabsorption of urinary constituents in the pathogenesis of the electrolyte disturbance. Hypokalemia as an accompaniment of the disturbed electrolyte picture has not been widely reported, but it has been noted in scattered reports in the literature.5 6 7 The low blood potassium level after ureterosigmoidostomy is . . .