Digital gangrene and pneumatosis intestinalis associated with calciphylaxis
| Autor: | Qingwen Kawaji, Erik B Eller, Jerry Yee, Judith C. Lin |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_treatment 030232 urology & nephrology lcsh:Surgery Digital gangrene Pancreas transplantation 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Medicine Pneumatosis intestinalis Computed tomography angiography Gangrene Calciphylaxis medicine.diagnostic_test business.industry Osteomyelitis lcsh:RD1-811 medicine.disease Surgery lcsh:RC666-701 Hemodialysis medicine.symptom Cardiology and Cardiovascular Medicine business Complication |
| Zdroj: | Journal of Vascular Surgery Cases and Innovative Techniques Journal of Vascular Surgery Cases and Innovative Techniques, Vol 4, Iss 2, Pp 133-135 (2018) |
| ISSN: | 2468-4287 |
| Popis: | Reports of calciphylaxis or calcific uremic arteriolopathy associated with acral and gastrointestinal involvement are rare. We describe a 36-year-old white woman with end-stage renal disease on hemodialysis after failed kidney and pancreas transplantation who developed dry gangrene of bilateral digits, osteomyelitis, and small bowel ischemia within several months of each presentation. She had multiple debridements of a septic right ankle. Computed tomography angiography showed severe vascular calcification and pneumatosis intestinalis. She underwent intestinal resection for gangrenous small bowel. A multidisciplinary approach with aggressive medical and surgical management may improve survival. Our case and the literature confirm the high morbidity of patients with calciphylaxis and vascular complications. Careful follow-up remains necessary for diagnosis and management to prevent complication, infection, and death. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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