Ischemic colitis in association with sevelamer crystals

We present a 35-year-old HIV patient with end-stage renal disease on hemodialysis who developed colonic hemorrhage and perforation. Imaging showed ischemic gangrene of bowel wall. Histopathology was consistent with transmural ischemic necrosis with deposition of fibrin thrombi and sevelamer crystals.
Source: Indian Journal of Nephrology - Category: Urology & Nephrology Authors: Source Type: research