| Literature DB >> 29356959 |
Toshiyuki Kubo1, Kentaro Yamashita2, Yoshihiro Yokoyama2,3, Daisuke Hirayama2, Tomohiro Shirata2, Kei Mitsuhashi2, Kei Onodera2, Eiichiro Yamamoto2, Katsuhiko Nosho2, Hiroo Yamano2, Terufumi Kubo4, Shintaro Sugita4, Tadashi Hasegawa4, Hiroshi Nakase2.
Abstract
A 78-year-old man with acute right lower abdominal pain and nausea was referred to our hospital. Computed tomography (CT) demonstrated hepatic portal venous gas and a thickened wall of the terminal ileum, and colonoscopy demonstrated ulcers and erosions of the ileocecal region. Histological examination of biopsy samples revealed basophilic crystals consistent with the component of calcium polystyrene sulfonate (CPS). This patient started taking CPS 2 months prior for chronic hyperkalemia. The symptoms resolved soon after ceasing CPS, and subsequent imaging studies confirmed the disappearance of the portal venous gas and ileocolitis.Entities:
Keywords: Calcium polystyrene sulfonate; Hepatic portal venous gas; Ileocecal ulcer
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Year: 2018 PMID： 29356959 DOI： 10.1007/s12328-018-0818-8
Source DB: PubMed Journal: Clin J Gastroenterol ISSN： 1865-7265