Case report: Sevelamer-associated colitis—a cause of pseudotumor formation with colon perforation and life-threatening bleeding

Chronic kidney disease (CKD) is a very common chronic non-communicable disease. Phosphate and calcium metabolism disorders are one of the most common features of CKD. Sevelamer carbonate is the most widely used non-calcium phosphate binder. Gastrointestinal (GI) injury associated with sevelamer use...

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Main Authors: Margareta Fistrek Prlic, Mislav Jelakovic, Marko Brinar, Dora Grgic, Ivan Romic, Zlatko Marusic, Ema Ivandic, Bojan Jelakovic, Ivana Vukovic Brinar, Zeljko Krznaric
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-04-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2023.1097469/full
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author Margareta Fistrek Prlic
Mislav Jelakovic
Marko Brinar
Marko Brinar
Dora Grgic
Ivan Romic
Zlatko Marusic
Ema Ivandic
Bojan Jelakovic
Bojan Jelakovic
Ivana Vukovic Brinar
Ivana Vukovic Brinar
Zeljko Krznaric
Zeljko Krznaric
author_facet Margareta Fistrek Prlic
Mislav Jelakovic
Marko Brinar
Marko Brinar
Dora Grgic
Ivan Romic
Zlatko Marusic
Ema Ivandic
Bojan Jelakovic
Bojan Jelakovic
Ivana Vukovic Brinar
Ivana Vukovic Brinar
Zeljko Krznaric
Zeljko Krznaric
author_sort Margareta Fistrek Prlic
collection DOAJ
description Chronic kidney disease (CKD) is a very common chronic non-communicable disease. Phosphate and calcium metabolism disorders are one of the most common features of CKD. Sevelamer carbonate is the most widely used non-calcium phosphate binder. Gastrointestinal (GI) injury associated with sevelamer use is a documented adverse effect but is underrecognized as a cause of gastrointestinal symptoms in patients with CKD. We report a case of a 74-year-old woman taking low-dose sevelamer with serious gastrointestinal adverse effects causing colon rupture and severe gastrointestinal bleeding.
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spelling doaj.art-e27b64eb2af047b68f9e9630af672a4c2023-04-27T04:28:41ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-04-011010.3389/fmed.2023.10974691097469Case report: Sevelamer-associated colitis—a cause of pseudotumor formation with colon perforation and life-threatening bleedingMargareta Fistrek Prlic0Mislav Jelakovic1Marko Brinar2Marko Brinar3Dora Grgic4Ivan Romic5Zlatko Marusic6Ema Ivandic7Bojan Jelakovic8Bojan Jelakovic9Ivana Vukovic Brinar10Ivana Vukovic Brinar11Zeljko Krznaric12Zeljko Krznaric13Department of Nephrology, Arterial Hypertension, Dialysis and Transplantation, University Hospital Center Zagreb, Zagreb, CroatiaDepartment of Gastroenterology, University Hospital Center Zagreb, Zagreb, CroatiaDepartment of Gastroenterology, University Hospital Center Zagreb, Zagreb, CroatiaSchool of Medicine, University of Zagreb, Zagreb, CroatiaDepartment of Gastroenterology, University Hospital Center Zagreb, Zagreb, CroatiaDepartment of Abdominal Surgery, University Hospital Center Zagreb, Zagreb, CroatiaDepartment of Pathology, University Hospital Center Zagreb, Zagreb, CroatiaDepartment of Nephrology, Arterial Hypertension, Dialysis and Transplantation, University Hospital Center Zagreb, Zagreb, CroatiaDepartment of Nephrology, Arterial Hypertension, Dialysis and Transplantation, University Hospital Center Zagreb, Zagreb, CroatiaSchool of Medicine, University of Zagreb, Zagreb, CroatiaDepartment of Nephrology, Arterial Hypertension, Dialysis and Transplantation, University Hospital Center Zagreb, Zagreb, CroatiaSchool of Medicine, University of Zagreb, Zagreb, CroatiaDepartment of Gastroenterology, University Hospital Center Zagreb, Zagreb, CroatiaSchool of Medicine, University of Zagreb, Zagreb, CroatiaChronic kidney disease (CKD) is a very common chronic non-communicable disease. Phosphate and calcium metabolism disorders are one of the most common features of CKD. Sevelamer carbonate is the most widely used non-calcium phosphate binder. Gastrointestinal (GI) injury associated with sevelamer use is a documented adverse effect but is underrecognized as a cause of gastrointestinal symptoms in patients with CKD. We report a case of a 74-year-old woman taking low-dose sevelamer with serious gastrointestinal adverse effects causing colon rupture and severe gastrointestinal bleeding.https://www.frontiersin.org/articles/10.3389/fmed.2023.1097469/fullgastrointestinal lesiongastrointestinal bleedingcolon rupturechronic kidney diseasesevelamer carbonatecase report
spellingShingle Margareta Fistrek Prlic
Mislav Jelakovic
Marko Brinar
Marko Brinar
Dora Grgic
Ivan Romic
Zlatko Marusic
Ema Ivandic
Bojan Jelakovic
Bojan Jelakovic
Ivana Vukovic Brinar
Ivana Vukovic Brinar
Zeljko Krznaric
Zeljko Krznaric
Case report: Sevelamer-associated colitis—a cause of pseudotumor formation with colon perforation and life-threatening bleeding
Frontiers in Medicine
gastrointestinal lesion
gastrointestinal bleeding
colon rupture
chronic kidney disease
sevelamer carbonate
case report
title Case report: Sevelamer-associated colitis—a cause of pseudotumor formation with colon perforation and life-threatening bleeding
title_full Case report: Sevelamer-associated colitis—a cause of pseudotumor formation with colon perforation and life-threatening bleeding
title_fullStr Case report: Sevelamer-associated colitis—a cause of pseudotumor formation with colon perforation and life-threatening bleeding
title_full_unstemmed Case report: Sevelamer-associated colitis—a cause of pseudotumor formation with colon perforation and life-threatening bleeding
title_short Case report: Sevelamer-associated colitis—a cause of pseudotumor formation with colon perforation and life-threatening bleeding
title_sort case report sevelamer associated colitis a cause of pseudotumor formation with colon perforation and life threatening bleeding
topic gastrointestinal lesion
gastrointestinal bleeding
colon rupture
chronic kidney disease
sevelamer carbonate
case report
url https://www.frontiersin.org/articles/10.3389/fmed.2023.1097469/full
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