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Extensive calcifications induced by hyperphosphataemia caused by phosphate-based enema in a patient after kidney transplantation
Author(s) -
Jens Eckstein,
Spasenija Savic,
Thomas Eugster,
Hans Pargger,
Lorenz Gürke,
Martina Pechula,
Jürg Steiger,
Michael Mayr
Publication year - 2006
Publication title -
nephrology dialysis transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.654
H-Index - 168
eISSN - 1460-2385
pISSN - 0931-0509
DOI - 10.1093/ndt/gfl284
Subject(s) - medicine , transplantation , enema , kidney transplantation , phosphate , kidney disease , urology , surgery , chemistry , organic chemistry
The use of phosphate-based enemas as a laxative is still standard practice in clinical medicine. Absorption of phosphate with consecutive hyperphosphataemia and hypocalcaemia is a serious adverse event which is especially dangerous in patients with renal insufficiency and impaired bowel movement. Despite several reports including cases of death, the seriousness of this situation appears to be underestimated in clinical practice [1,2]. We report a case of severe hyperphosphataemia after kidney transplantation induced by phosphatecontaining enemas resulting in fatal calcifications.

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