https://scholars.lib.ntu.edu.tw/handle/123456789/532674
標題: | Ileum and colon perforation following peritoneal dialysis-related peritonitis and high-dose calcium polystyrene sulfonate | 作者: | Kao C.-C. Tsai Y.-C. WEN-CHIH CHIANG TSUI-LIEN MAO Kao T.-W. |
公開日期: | 2015 | 出版社: | Elsevier | 卷: | 114 | 期: | 10 | 起(迄)頁: | 1008-1010 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | A rare but severe complication, intestinal necrosis, has been reported after sodium polystyrene sulfonate (SPS; Kayexalate) and sorbitol intake. Some case reports described bowel perforation following calcium polystyrene sulfonate (CPS; Kalimate) administration. We report a case of ileum and colon perforation following peritoneal dialysis-related peritonitis and high-dose Kalimate in a 59-year-old female patient. The patient had a history of hypertension, diabetes mellitus, and end-stage renal disease (ESRD). During hospitalization for peritoneal dialysis-related peritonitis, she developed hyperkalemia, and Kalimate was administered orally. However, severe abdominal distension and pain occurred just one day after Kalimate intake. An urgent surgery disclosed several perforations in the ileum and sigmoid colon. Pathology of the resected gut showed transmural necrosis and perforation with basophilic angulated crystals. The patient finally expired during hospitalization due to refractory septic shock. ? 2013. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84943361359&doi=10.1016%2fj.jfma.2013.02.006&partnerID=40&md5=e95c3ecb44f7da36b6a07740ac99591f https://scholars.lib.ntu.edu.tw/handle/123456789/532674 |
ISSN: | 0929-6646 | DOI: | 10.1016/j.jfma.2013.02.006 | SDG/關鍵字: | polystyrenesulfonate calcium; polystyrene derivative; polystyrenesulfonic acid; sorbitol; abdominal distension; abdominal pain; adult; Article; basophil; case report; colon perforation; continuous ambulatory peritoneal dialysis; crystal; disease severity; drug megadose; female; histopathology; hospitalization; human; human tissue; hyperkalemia; intestine necrosis; middle aged; peritonitis; septic shock; sigmoid; small intestine perforation; adverse effects; colon; fatality; hyperkalemia; ileum; Intestinal Perforation; Kidney Failure, Chronic; necrosis; pathology; peritoneal dialysis; peritonitis; Shock, Septic; Colon; Fatal Outcome; Female; Humans; Hyperkalemia; Ileum; Intestinal Perforation; Kidney Failure, Chronic; Middle Aged; Necrosis; Peritoneal Dialysis; Peritonitis; Polystyrenes; Shock, Septic; Sorbitol |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。