title: Lanthanum, constipation, bafflying X-rays and a perforated colonic diverticulum.
abstract: Lanthanum carbonate (LC) is used as a phosphate binder in dialysed patients. Abdominal pain and constipation are known side effects of its use. Furthermore, in radiological studies, LC tablets are seen as intense radio-opaque deposits within the entire gastrointestinal tract-findings which can lead to diagnostic misinterpretations. An elderly patient on peritoneal dialysis and taking LC presented with peritonitis, secondary to a perforated colonic diverticulum. The possible association between the use of LC, worsening constipation and complications arising from colonic diverticular disease, are discussed.
authors: Department of Nephrology and Hypertension , Hasharon Hospital, Rabin Medical Center, Sackler School of Medicine , Tel Aviv University , Israel.
authors: Asher
authors: A
authors: Korzets
authors: Department of Radiology , Hasharon Hospital, Rabin Medical Center, Sackler School of Medicine , Tel Aviv University , Israel.
authors: Inna
authors: I
authors: Tsitman
authors: Department of Nephrology and Hypertension , Hasharon Hospital, Rabin Medical Center, Sackler School of Medicine , Tel Aviv University , Israel.
authors: Netta
authors: N
authors: Lev
authors: Department of Nephrology and Hypertension , Hasharon Hospital, Rabin Medical Center, Sackler School of Medicine , Tel Aviv University , Israel.
authors: Boris
authors: B
authors: Zingerman
authors: Department of Nephrology and Hypertension , Hasharon Hospital, Rabin Medical Center, Sackler School of Medicine , Tel Aviv University , Israel.
authors: Michal
authors: M
authors: Herman
authors: Department of Nephrology and Hypertension , Hasharon Hospital, Rabin Medical Center, Sackler School of Medicine , Tel Aviv University , Israel.
authors: Naomi
authors: N
authors: Ben Dor
authors: Department of Nephrology and Hypertension , Hasharon Hospital, Rabin Medical Center, Sackler School of Medicine , Tel Aviv University , Israel.
authors: Uzi
authors: U
authors: Gafter
authors: Department of Nephrology and Hypertension , Hasharon Hospital, Rabin Medical Center, Sackler School of Medicine , Tel Aviv University , Israel.
authors: Yaacov
authors: Y
authors: Ori
keywords: constipation; dialysis; diverticular disease; lanthanum carbonate