ea0031p125 | Clinical practice/governance and case reports | SFEBES2013
Kyriacou Christopher
, De Silva Akila
, Walker Alice
, Behary Preeshila
, Zac-Varghese Sagen
, Massie Nicholas
, Naeem Temoor
, Meeran Karim
, Neary Nicola
A 59-year-old gentleman with schizoaffective disorder, treated with long-term lithium therapy and depot fluphenazine, underwent elective cystectomy and ileal conduit formation for transitional cell bladder carcinoma.Post operatively, he developed acute renal impairment, evidenced by a fall in eGFR from 68 to 26 ml/min per 1.73 m2. This resulted in accumulation of lithium to a toxic level of 1.82 mmol/l (0.41.0); despite stopping lithium,...