| A Case of Peritonitis Induced by Small Bowel Calcification and Microperforation:
Sustained Secondary Hyperparathyroidism in a Patient with Continuous Peritoneal Dialysis |
| Inhye Cha, M.D., Eunjung Cho, M.D., Kichul Yoon, M.D., Hocheol Hong, M.D., Hye Won Kim, M.D., Ha Na Yang, M.D., Myung Gyu Kim, M.D., Sang-Kyung Jo, M.D., Hyoung Kyu Kim, M.D. and Won Yong Cho, M.D. |
| Division of Nephrology, Department of Internal Medicine Korea University Medical College, Seoul, Korea |
| 증례 : 지속적 복막투석 환자에서 지속되는 이차성 부갑상선 항진증에 동반된 소장의 석회화와 미만성 미세 천공에 의해 발생한 복막염 1예 |
| 차인혜, 조은정, 윤기철, 홍호철, 김혜원, 양하나, 김명규, 조상경, 김형규, 조원용 |
| 고려대학교 의과대학 내과학교실 신장내과 |
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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. |
| Key Words:
Peritoneal dialysis, Hyperparathyroidism, Calcification |
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