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- Kohsaku Goto, Yu Shimizu, Toshiya Kojima, Norifumi Takeda, Katsuhito Fujiu, and Issei Komuro.
- Department of Cardiovascular Medicine, Graduate School of Medicine, The University of Tokyo, Japan.
- Intern. Med. 2022 Aug 15; 61 (16): 2533-2537.
AbstractIntravenous use of contrast medium (CM), which may cause kidney dysfunction, is admissible for hemodialysis patients because of the efficient removal by hemodialysis. We herein report a 61-year-old woman on hemodialysis who suffered from cholecystitis and cholangitis after large-volume CM administration during continuous renal replacement therapy. After catheter ablation, she developed life-threatening retroperitoneal hemorrhage, which led to the use of 500 mL CM for 5 consecutive days. It should be kept in mind that excessive vicarious CM excretion in the biliary system may become a predisposing factor of cholecystitis and cholangitis in patients who frequently undergo radiological interventions and imaging.
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