Abstract

SINCE the report of Baker et al 1 in November 1964, physicians have been alert to the possibility of patients receiving potassium therapy developing small-bowel ulcerations. Nearly all reports have emphasized the role of enteric-coated potassium chloride as the cause of such lesions. This has made many physicians believe that aqueous solutions of potassium may be given without the danger of such a complication. Therefore, it seems appropriate to report our experience with a patient who developed an acute obstructing ulcer of the jejunum while receiving potassium gluconate (Kaon Elixir). Report of a Case A 67-year-old chronic alcoholic, very obese, white woman was admitted to the hospital on the evening of Jan 5, 1966, because of nausea, vomiting, epigastric pain, cough, dyspnea, and nervousness. Her alcohol and weight problem began at least 30 years previously. Roentgenographic studies in the past had demonstrated a diverticulum of the duodenum, a small hiatal

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