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City Philadelphia / / / Facility Lister Hospital / / MedicalCondition malnutrition / incisional hernia / asbestosis / acidosis / e250 Conclusions Metabolic acidosis / Severe and persistent metabolic acidosis / hydronephrosis / metabolic acidosis / gross dehydration / B (pT3N0MX) caecal adenocarcinoma / bladder cancer / carcinoma / ileus / lethargy / renal insufficiency / fatigue / injury / cystoprostatectomy / incisional hernia / Keywords Metabolic Acidosis / interstitial lung fibrosis / illness / acute renal failure / 003588412X13373405387456 Metabolic acidosis / gallstones / hypotension / dehydration / / MedicalTreatment major surgery / resuscitation / surgery / abdominal surgery / / Organization Department of General Surgery / NHS / Lister Hospital / / Person Ann Surg / Greg Boustead / Sanjay Gupta / Ann R Coll Surg Engl / / Position Consultant Urologist / Major / surgeon / / Product sodium bicarbonate / cholestyramine / / Technology tomography / /
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ONLINE CASE REPORT Ann R Coll Surg Engl 2012; 94: e249–e250 doi[removed]003588412X13373405387456