Lanthanum, constipation, bafflying X-rays and a perforated colonic diverticulum.

Clin Kidney J

Department of Nephrology and Hypertension , Hasharon Hospital, Rabin Medical Center, Sackler School of Medicine , Tel Aviv University, Israel.

Published: August 2012

Lanthanum carbonate (LC) is used as a phosphate binder in dialysed patients. Abdominal pain and constipation are known side effects of its use. Furthermore, in radiological studies, LC tablets are seen as intense radio-opaque deposits within the entire gastrointestinal tract-findings which can lead to diagnostic misinterpretations. An elderly patient on peritoneal dialysis and taking LC presented with peritonitis, secondary to a perforated colonic diverticulum. The possible association between the use of LC, worsening constipation and complications arising from colonic diverticular disease, are discussed.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4393478PMC
http://dx.doi.org/10.1093/ckj/sfs073DOI Listing

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