Colonic intussusception secondary to a calcium phosphate bezoar in a child receiving calcium carbonate for hyperphosphatemia.
We report a case of a calcium phosphate bezoar resulting in colonic intussusception in a boy with chronic renal failure who received calcium carbonate to control hyperphosphatemia. Because of concerns about aluminum-related disease in patients receiving aluminum hydroxide phosphate binders, calcium carbonate is being used more frequently to manage phosphate retention in renal failure. The development of bezoars may complicate this new form of therapy.
Fildes
R D
RD
Department of Pediatrics, School of Medicine, State University of New York, Buffalo.
Springate
J E
JE
Jewett
T
T
O'Shea
M M
MM
Feld
L G
LG
D001630:Bezoars / Q000139:chemically induced / Q000150:complications*; D002119:Calcium Carbonate / Q000009:adverse effects* / Q000627:therapeutic use; D002675:Child, Preschool; D003108:Colonic Diseases / Q000150:complications / Q000209:etiology*; D006801:Humans; D007443:Intussusception / Q000150:complications / Q000209:etiology*; D008297:Male; D010710:Phosphates / Q000097:blood*
D010710:Phosphates; D002119:Calcium Carbonate