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Published on: October 16, 2013
Lanthanum, constipation, bafflying X-rays and a perforated colonic diverticulum
Asher Korzets1, Inna Tsitman2, Netta Lev1
1Department of Nephrology and Hypertension , Hasharon Hospital, Rabin Medical Center, Sackler School of Medicine , Tel Aviv University , Israel.
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.
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