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Case report
Bowel preparation agent inducing profound shock precolonoscopy
  1. Angus Loraine
  1. Intensive Care Unit, Queensland Health, Gold Coast, Queensland, Australia
  1. Correspondence to Dr Angus Loraine; angus.loraine{at}


A 73-year-old woman was admitted to the intensive care unit following vomiting and diarrhoea onset after completing oral bowel preparation prior to colonoscopy to investigate haematochezia. She had a history of severe chronic obstructive pulmonary disease, Crohn’s disease, diverticular disease, hypertension and dyslipidaemia. She was resuscitated with intravenous fluids, antibiotics and required epinephrine, norepinephrine and vasopressin infusions. She improved over her 4-day intensive care admission and was discharged to the general medical ward, but ultimately died 19 days after presentation.

  • inflammatory bowel disease
  • endoscopy
  • gastroenterology
  • adult intensive care
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  • Contributors This case report was prepared, written and drafted by AL.

  • Funding The author has not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Next of kin consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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