지속적 복막투석 환자에서 지속되는 이차성 부갑상선 항진증에 동반된 소장의 석회화와 미만성 미세 천공에 의해 발생한 복막염 1예 : A Case of Peritonitis Induced by Small Bowel Calcification and Microperforation: Sustained Secondary Hyperparathyroidism in a Patient with Continuous Peritoneal Dialysis
A Case of Peritonitis Induced by Small Bowel Calcification and Microperforation: Sustained Secondary Hyperparathyroidism in a Patient with Continuous Peritoneal Dialysis
- 주제(키워드) Peritoneal dialysis , Hyperparathyroidism , Calcification , Peritoneal dialysis , Hyperparathyroidism , Calcification
- 발행기관 대한신장학회
- 발행년도 2010
- 총서유형 Journal
- UCI G704-000889.2010.29.4.020
- KCI ID ART001466449
- 본문언어 한국어
초록/요약
Secondary hyperparathyroidism is a common complication of chronic kidney disease and known to be associated with soft tissue calcification affecting patients’ morbidity and mortality. However few cases of intestinal calcification related to secondary hyperparathyroidism have been reported. Herein we report a case of peritonitis complicating small intestinal perforation in a patient who had undergone peritoneal dialysis and had sustained hyperparathyroidism. Diffuse calcifications and perforations in small intestine were identified in abdomino-pelvic CT scan as well as in resected small intestine. Because of relapsing microperforation and resultant intra-abdominal abscess, the patient has been in fasting status depending on total parenteral nutrition for over 8 months after surgery.
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