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KMID : 0359920100290040529
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Korean Journal of Nephrology
2010 Volume.29 No. 4 p.529 ~ p.534
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A Case of Peritonitis Induced by Small Bowel Calcification and Microperforation: Sustained Secondary Hyperparathyroidism in a Patient with Continuous Peritoneal Dialysis
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Cha In-Hye
Cho Eun-Jung
Yoon Gi-Chol
Hong Ho-Cheol
Kim Hye-Won
Yan Ha-Na
Kim Myung-Gyu
Jo Sang-Kyung
Kim Hyung-Kyu
Cho Won-Yong
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Abstract
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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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KEYWORD
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Peritoneal dialysis, Hyperparathyroidism, Calcification
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