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지속적 복막투석 환자에서 지속되는 이차성 부갑상선 항진증에 동반된 소장의 석회화와 미만성 미세 천공에 의해 발생한 복막염 1예
차인혜 ( In Hye Cha ),조은정 ( Eun Jung Cho ),윤기철 ( Ki Chul Yoon ),홍호철 ( Ho Cheol Hong ),김혜원 ( Hye Won Kim ),양하나 ( Ha Na Yang ),김명규 ( Myung Gyu Kim ),조상경 ( Sang Kyung Jo ),김형규 ( Hyoung Kyu Kim ),조원용 ( Won Y 대한신장학회 2010 Kidney Research and Clinical Practice Vol.29 No.4
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.