Sevelamer-induced Stercoral Ulceration in a Patient with End Stage Renal Disease

Authors

  • Shruti Rai Ponce Health Sciences University, St. Louis, MO, USA. Author
  • Loren Bach Mercy Hospital, St. Louis, MO, USA. Author

DOI:

https://doi.org/10.71332/7z4qvf31

Keywords:

sevelamer, colonic ulceration, feculent peritonitis, end-stage renal disease, hyperphosphatemia

Abstract

This is a case describing the sequence of stercoral ulceration leading to fecal impaction and subsequent feculent peritonitis in a patient with end-stage renal disease (ESRD). Analyzing the patient’s operative course and hospitalization illustrates the complex nature of ESRD and the associated circumstances leading to this patient’s death. Utilizing the patient’s imaging and pathology results concludes that medication resins such as sevelamer caused mucosal ulceration in her colon. These results emphasize current literature which describes the potential for gastrointestinal complications with use of sevelamer. 

References

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Published

2025-07-14