Cecum perforation associated with a calcium polystyrene sulfonate bezoar - a rare entity

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Calcium polystyrene sulfonate bezoar in the ileum: diagnosis and treatment with double-balloon endoscopy.

An 86-year-old man, admitted for transarterial chemoembolization of a hepatoma, developed fever and acute renal failure following the procedure. He was given antibiotic therapy and oral calcium polystyrene sulfonate (30g daily) for hyperkalemia. After 1 week, the patient developed bilious vomiting with abdominal pain. An abdominal X-ray disclosed diffuse dilatation of the small bowel (●" Fig.1)...

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Colonic necrosis and perforation due to calcium polystyrene sulfonate in a uraemic patient: a case report

Sodium or calcium polystyrene sulfonate (Kayexalate or analog) is an ion-exchange resin commonly used to treat hyperkalaemia in patients with chronic kidney disease. It is known to cause digestive complications, such as nausea, vomiting and constipation. Although rare, colonic necrosis and perforation are very severe complications associated with the medication. In this case report, we present ...

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A 90-year-old female complaining of severe upper abdominal pain was transferred to our institution. The patient had been prescribed with calcium polystyrene sulfonate (CPS) for the treatment of hyperkalemia following myeloperoxidase-antineutrophil cytoplasmic antibody (MPO-ANCA) associated glomerulonephritis. Physical examination revealed diffuse tenderness over the abdomen, with signs of perit...

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ژورنال

عنوان ژورنال: Brazilian Journal of Nephrology

سال: 2019

ISSN: 2175-8239,0101-2800

DOI: 10.1590/2175-8239-jbn-2018-0158