Starry-sky bowels

Chang, Fu Ming; Tarng, Der Cherng; Yang, Chi‐Rei

doi:10.1007/s00384-018-3173-9

Cited by 4 publications

(12 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…erefore, the tablets did not fully dissociate in the gut, and was passed in the stool essentially unchanged. Previously published case reports have reported lanthanum carbonate on radiographic imagining being confused to be barium, with a "starry sky appearance" on CT imagining [9]. In a different case report, an elderly man developed cough, dysphagia, and hoarseness, and a chest X-ray determined there was a radiopaque coinshaped foreign body in the aero digestive tract.…”

Section: Discussionmentioning

confidence: 94%

“…e drug then dissociates in the gastrointestinal tract into its elemental form to bind dietary phosphorus. e elemental form of lanthanum is a so metal, hence appears radiopaque on radiography [7][8][9][10][11]. e most common adverse e ects reported are gastrointestinal 3: KUB from 7/4/18 shows new radiopaque foreign material in bowel concerning for foreign ingestion.…”

Section: Discussionmentioning

confidence: 99%

“…Some authors of similar case reports have suggested as far as to temporarily switching from lanthanum carbonate to a different phosphate-lowering medication prior to radiologic examination, despite the drug's effectiveness [15]. On the other hand, lanthanum carbonate's characteristic radiopaque appearance may be used as an advantage to assess the patient's drug adherence [8,9,16].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

119 Lanthanum - Induced Radiopaque Intestinal Precipitates: A Potential Cause of Intestinal Foreign Bodies

2019

American Journal of Kidney Diseases

View full text Add to dashboard Cite

Lanthanum carbonate is a commonly prescribed oral phosphate binder for use in patients with acute or chronic kidney disease. e elemental form of lanthanum is a so metal, which will appear radiopaque on a standard X-ray radiograph. is 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 nding in the literature, it is essential to consider Lanthanum precipitates in the di erential diagnosis of radiopaque intestinal foreign bodies in patients with chronic kidney disease to avoid unnecessary utilization of medical resources for this predominantly benign condition.

show abstract

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

119 Lanthanum - Induced Radiopaque Intestinal Precipitates: A Potential Cause of Intestinal Foreign Bodies

2019

American Journal of Kidney Diseases

View full text Add to dashboard Cite

show abstract

“…Therefore, the tablets did not fully dissociate in the gut, and was passed in the stool essentially unchanged. Previously published case reports have reported lanthanum carbonate on radiographic imagining being confused to be barium, with a “starry sky appearance” on CT imagining [9]. In a different case report, an elderly man developed cough, dysphagia, and hoarseness, and a chest X-ray determined there was a radiopaque coin-shaped foreign body in the aero digestive tract.…”

Section: Discussionmentioning

confidence: 99%

Lanthanum-Induced Radiopaque Intestinal Precipitates: A Potential Cause of Intestinal Foreign Bodies

Galo

Madrid

Kupin

2019

Case Reports in Nephrology

View full text Add to dashboard Cite

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.

show abstract

“…The most frequent image modality was X-ray, reported in 73% of the papers [8][9][10][11]13,[17][18][19][20][21][22][23][25][26][27]29,[33][34][35][36][37][38], and CT, reported in 49% of the papers [4,8,9,11,18,19,21,24,26,28,[31][32][33]37,41]. Two or more types of radiological imaging were reported in 33% of the papers [8,9,11,18,19,21,26,28,29,33,37].…”

Section: Type Of Image Modalitymentioning

confidence: 99%

Lanthanum Carbonate Opacities—A Systematic Review

et al. 2022

View full text Add to dashboard Cite

Background: Lanthanum carbonate is a phosphate binder used in advanced kidney disease. Its radiopaque appearance has been described in many case studies and case series. Misinterpretation of this phenomenon leads to unnecessary diagnostic tests and procedures. The objectives of this study were to summarize the literature on lanthanum carbonate opacities and present a visual overview. Methods: A systematic search was conducted using MEDLINE, Embase, and Web of Science. We included all types of studies, including case reports/studies, describing radiological findings of lanthanum carbonate opacities in patients with chronic kidney disease. No filter for time was set. Results: A total of 36 articles were eligible for data extraction, and 33 articles were included in the narrative synthesis. Lanthanum carbonate opacities were most commonly reported in the intestines (26 studies, 73%), stomach (8 studies, 21%), and the aerodigestive tract (2 studies, 6%). The opacities in the intestine were most frequently described as multiple, scattered radiopaque densities, compared with the aerodigestive tract, where the opacities were described as a single, round foreign body. Suspicion of contrast medium or foreign bodies was the most common differential diagnosis. LC opacities in patients with CKD are commonly misinterpreted as foreign bodies or suspect contrast media. Conclusions: CKD patients treated with LC may have opacities throughout the digestive tract that can vary in appearance. Stopping LC treatment or changing to an alternative phosphate binder prior to planned image studies can avoid diagnostic confusion. If this is not an option, knowledge of the presentation of LC opacities is important.

show abstract

Starry-sky bowels

Cited by 4 publications

References 3 publications

119 Lanthanum - Induced Radiopaque Intestinal Precipitates: A Potential Cause of Intestinal Foreign Bodies

119 Lanthanum - Induced Radiopaque Intestinal Precipitates: A Potential Cause of Intestinal Foreign Bodies

Lanthanum-Induced Radiopaque Intestinal Precipitates: A Potential Cause of Intestinal Foreign Bodies

Lanthanum Carbonate Opacities—A Systematic Review

Contact Info

Product

Resources

About