Galo Jason, Madrid Bianca, Kupin Warren
Jackson Memorial Hospital/University of Miami Hospital, Miami, FL, USA.
Case Rep Nephrol. 2019 Sep 2;2019:1298674. doi: 10.1155/2019/1298674. eCollection 2019.
Lanthanum carbonate is a commonly prescribed oral phosphate binder for use in patients with acute or chronic kidney disease. The elemental form of lanthanum is a soft metal, which will appear radiopaque on a standard X-ray radiograph. This case report illustrates the potential for Lanthanum to masquerade as multiple radiopaque intestinal foreign bodies, leading to the extensive mobilization of medical resources and consultations including serial X-ray monitoring, multiple consultants including acute care and colorectal surgery. Given the few published reports describing this finding in the literature, it is essential to consider Lanthanum precipitates in the differential diagnosis of radiopaque intestinal foreign bodies in patients with chronic kidney disease to avoid unnecessary utilization of medical resources for this predominantly benign condition.
碳酸镧是一种常用于急性或慢性肾病患者的口服磷酸盐结合剂。镧的元素形式是一种软金属,在标准X线片上会显示为不透射线。本病例报告说明了镧有可能伪装成多个不透射线的肠道异物,导致大量医疗资源的调动和会诊,包括系列X线监测、多个会诊科室(包括急性护理和结直肠外科)。鉴于文献中描述这一发现的报道较少,在慢性肾病患者不透射线肠道异物的鉴别诊断中考虑碳酸镧沉淀至关重要,以避免对这种主要为良性情况的不必要医疗资源利用。