title: Crohnic kidney disease: recurrent acute kidney failure in a patient with Crohn's disease.
abstract: BACKGROUND
  Short bowel syndrome is a rare and devastating complication in chronic inflammatory bowel disease following functional or anatomic loss of extensive segments of the intestine.
  
  
  METHODS
  A 60-year-old male patient with Crohn's disease had undergone multiple resections of the intestine and developed short bowel syndrome. Despite up to 4-5 liters of orally fluid, sufficient calcium and magnesium intake, he suffered from recurrent acute kidney injury due to profound volume depletion and those electrolyte deficiencies. Administration of intravenous fluid and electrolyte repleacement treatment at regular intervals prevented further kidney injuries.
  
  
  CONCLUSIONS
  We present a case of recurrent acute kidney failure in a patient with Crohn's disease, and aimed to remark importance of receiving sufficient parenteral fluid and electrolyte support in those with short bowel syndrome.
authors.affiliation: Department of Internal Medicine, School of Medicine, Harran University, Sanliurfa, Turkey ; Division of Nephrology, Harran University, Sanliurfa, Turkey.
authors.forename: Mehmet Emin
authors.initials: ME
authors.lastname: Demir
authors.affiliation: Department of Internal Medicine, Division of Nephrology, Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey.
authors.forename: Zafer
authors.initials: Z
authors.lastname: Ercan
authors.affiliation: Department of Internal Medicine, School of Medicine, Harran University, Sanliurfa, Turkey.
authors.forename: Emel Yigit
authors.initials: EY
authors.lastname: Karakas
authors.affiliation: Department of Internal Medicine, School of Medicine, Harran University, Sanliurfa, Turkey.
authors.forename: Turgay
authors.initials: T
authors.lastname: Ulas
authors.affiliation: Department of Internal Medicine, School of Medicine, Harran University, Sanliurfa, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Buyukhatipoglu
keywords: Acute kidney failure; Crohn's disease; Hyponatremia