A Case of Idiopathic Sigmoid Colonic Perforation in a Hemodialysis Patient.
- Author:
Jung Gon KIM
1
;
Hee Juang RYU
;
Kyoung Soon JIN
;
Seung Min YOO
;
Hyun Hee LEE
;
Woo Kyung CHUNG
;
Joon Seung LEE
;
Na Rae KIM
Author Information
1. Division of Nephrology, Gil Medical Center, Gachon Medical School, Incheon, Korea. joonseung@gilhospital.com
- Publication Type:Case Report
- Keywords:
Feces;
Intestinal perforation;
Hemodialysis
- MeSH:
Aged;
Colon, Sigmoid*;
Constipation;
Diet;
Fecal Impaction;
Feces;
Female;
Humans;
Intestinal Perforation;
Megacolon;
Renal Dialysis*;
Water
- From:Korean Journal of Nephrology
2006;25(1):145-148
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Many hemodialysis patients, because of low fiber diet, water restriction, phosphate binder and endocrine-metabolic disturbance, suffer from chronic constipation. In a state of chronic constipation, a large amount of hard fecal mass often results in fecal impaction. Megacolon, urinary obstruction and perforation of the large bowel rarely develop as a complication of fecal impaction. The authors experienced a case of idiopathic sigmoid colonic perforation, with fecal impaction, in a 66-year-old woman having undergone hemodialyis of 6 years duration. The clinical features of the case are presented, with a review of the literatures.
