title: [Secondary oxalosis following small bowel resection with kidney insufficiency and oxalate vasculopathy].
abstract: A 58-year-old female patient admitted to hospital for advanced renal failure had a 40 years' history of Crohn's disease and had undergone ileocecal resection. Nevertheless, chronic diarrhea persisted. Subsequently calcium oxalate stones in the urine were repeatedly observed. Progressive renal failure developed. The investigation of the patient showed severe steatorrhea and pronounced hyperoxaluria, and renal biopsy showed severe chronic interstitial nephritis with calcium oxalate crystals. The skin biopsy revealed severe calcium oxalate vasculitis. The pathophysiology and therapy of secondary hyperoxaluria due to small bowel resection are discussed.
authors.affiliation: Dialysestation, Medizinische Klinik, Kantonsspital, Liestal.
authors.forename: D
authors.initials: D
authors.lastname: Kiss
authors.forename: R
authors.initials: R
authors.lastname: Meier
authors.forename: K
authors.initials: K
authors.lastname: Gyr
authors.forename: W
authors.initials: W
authors.lastname: Wegmann
mesh_terms: D002129:Calcium Oxalate / Q000378:metabolism*; D003424:Crohn Disease / Q000601:surgery; D005260:Female; D006801:Humans; D006959:Hyperoxaluria / Q000209:etiology*; D007676:Kidney Failure, Chronic / Q000209:etiology*; D008875:Middle Aged; D009395:Nephritis, Interstitial / Q000209:etiology; D011183:Postoperative Complications / Q000209:etiology; D014657:Vasculitis / Q000209:etiology / Q000473:pathology
chemical_list: D002129:Calcium Oxalate
vernacular_title: Sekundäre Oxalose nach Dünndarmresektion mit Niereninsuffizienz und Oxalatvaskulopathie.