Korean J Nephrol.  2010 Jul;29(4):529-534.

A Case of Peritonitis Induced by Small Bowel Calcification and Microperforation: Sustained Secondary Hyperparathyroidism in a Patient with Continuous Peritoneal Dialysis

• Cha I
• Cho E
• Yoon K
• Hong H
• Kim HW
• Yang HN
• Kim MG
• Jo SK
• Kim HK
• Cho WY

Abstract

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.

Keyword

Peritoneal dialysis; Hyperparathyroidism; Calcification

MeSH Terms

Abdominal Abscess
Fasting
Humans
Hyperparathyroidism
Hyperparathyroidism, Secondary
Intestinal Perforation
Intestine, Small
Parenteral Nutrition, Total
Peritoneal Dialysis
Peritonitis
Renal Insufficiency, Chronic