Korean J Nephrol.
2006 Jan;25(1):145-148.
A Case of Idiopathic Sigmoid Colonic Perforation in a Hemodialysis Patient
- Affiliations
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- 1Division of Nephrology, Gil Medical Center, Gachon Medical School, Incheon, Korea. joonseung@gilhospital.com
- 2Department of Internal Medicine, Gil Medical Center, Gachon Medical School, Incheon, Korea.
- 3Department of Pathology, Gil Medical Center, Gachon Medical School, Incheon, Korea.
Abstract
- Many hemodialysis patients, because of low fiber diet, water restriction, phosphate binder and endocrine-metabolic disturbance, suffer from chronic constipation. In a state of chronic constipation, a large amount of hard fecal mass often results in fecal impaction. Megacolon, urinary obstruction and perforation of the large bowel rarely develop as a complication of fecal impaction. The authors experienced a case of idiopathic sigmoid colonic perforation, with fecal impaction, in a 66-year-old woman having undergone hemodialyis of 6 years duration. The clinical features of the case are presented, with a review of the literatures.
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