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Nephrol Dial Transplant (2001) 16: 2426-2428
© 2001 European Renal Association-European Dialysis and Transplant Association

Teaching Point

Two haemodialysis patients with unclear abdominal symptoms of similar origin

(Section Editor: K. Kühn)

Mark A. Norden and Hamid Rabb

Hennepin County Medical Center, University of Minnesota, Minneapolis, Minnesota, USA

Keywords: amyloidosis; atherosclerosis; end-stage renal disease; ischaemic colitis; lymphoma

Introduction

Ischaemic colitis (IC) is a dangerous condition usually caused by atherosclerosis and low blood flow states [1]. Haemodialysis (HD) patients are at increased risk of IC because they have accelerated rates of arterial vascular disease [2] and because hypotension is common during dialysis with large amounts of fluid removal. Thus, IC in the HD patient is usually attributed to atherosclerotic origin. However, there are many other conditions that can contribute to IC including arterial occlusion, thrombosis, factors that increase blood viscosity, constipation causing increased intraluminal pressure [3,4], digoxin which acts as a splanchnic vasoconstrictor, impaired baroreflex sensitivity in chronic renal failure, and, rarely, neoplasm [5,6] or amyloidosis [7–10].

We report two cases of IC in HD patients of non-atherosclerotic aetiology. The first case is a unique presentation of IC in a HD patient in . . . [Full Text of this Article]

Cases

Case 1
Case 2
Discussion

Teaching points

Notes

References


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