Gastrointentinal intolerance metformin and acute diverticulitis

Authors

  • Carlos Walter Contreras-Camarena Servicio de Medicina Interna. Hospital Nacional Dos de Mayo. Universidad Nacional Mayor de San Marcos. Lima. Perú https://orcid.org/0000-0002-7394-995X
  • Humberto Lira-Veliz Departamento de Emergencias y Cuidados Críticos. Hospital Nacional Dos de Mayo. Universidad Nacional Mayor de San Marcos. Lima. Perú https://orcid.org/0000-0003-0634-9927

DOI:

https://doi.org/10.32818/reccmi.a5n3a9

Keywords:

metformin, adverse effects, diarrhea, colonic diverticulitis.

Abstract

Metformin intolerance occurs in 20 to 30% of diabetics; it is definitively suspended in 5% due to severe gastrointestinal effects. We present the case of a 65 year-old male, diabetic type 2, with diverticular disease, who repeatedly presented diarrhea and abdominal pain due to metformin. He was admitted to the intensive care unit for acute diverticulitis and discharged with insulin and definitive withdrawal of metformin. We suggest considering the probability of increased risk for metformin intolerance in the presence of intestinal morphological changes.

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Published

2020-12-31

How to Cite

1.
Contreras-Camarena CW, Lira-Veliz H. Gastrointentinal intolerance metformin and acute diverticulitis. Rev Esp Casos Clin Med Intern [Internet]. 2020 Dec. 31 [cited 2024 Jul. 3];5(3):123-5. Available from: https://www.reccmi.com/RECCMI/article/view/577

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