The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2010
[Calcium polystyrene sulfonate induced colonic necrosis in patient with chronic kidney disease].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Lee Sung Hoa, Kim Sung Jung, Kim Go Eun, Lee Woo Jin, Hong Won Ki, Baik Gwang Ho, Choi Young Hee, Kim Dong Joon
Аннотация
A 63-year-old woman was admitted due to right upper quadrant abdominal pain. She was going through hemodialysis due to end stage renal disease and taking calcium polystyrene sulfonate orally and rectally due to hyperkalemia. Colonoscopy showed a circular ulcerative mass on the proximal ascending colon. Biopsy specimen from the mass showed inflammation and necrotic debris. It also revealed basophilic angulated crystals which were adherent to the ulcer bed and normal mucosa. These crystals were morphologically consistent with calcium polystyrene sulfonate. She was diagnosed with calcium polystyrene phosphate induced colonic necrosis and improved with conservative treatment.