Correspondence

Medical Mystery — The Answer

N Engl J Med 2002; 347:857September 12, 2002

Article

To the Editor:

The medical mystery in the July 25 issue1 involved a 34-year-old woman who was receiving dialysis and who had had multiple admissions for uremic pericarditis. An abdominal radiograph (Figure 1Figure 1Abdominal Radiograph Showing Two Ossified Renal Transplants and Adjacent Surgical Clips.) was obtained during an evaluation for abdominal pain. The uremic pericarditis was the probable cause of referred abdominal pain. The patient had received two renal transplants, 18 and 20 years earlier, and had undergone partial parathyroidectomy 4 years earlier for hyperparathyroidism. The abdominal image shows two ossified renal transplants and adjacent surgical clips. There are marked changes indicative of osteomalacia. No cause of the abdominal pain is evident on the abdominal image.

Leslie A. Kory, M.D.
Jacobi Medical Center, Bronx, NY 10461

1 References

1. 1

   Kory LA. A medical mystery. N Engl J Med 2002;347:260-260
   Full Text | Web of Science

Citing Articles (1)

Citing Articles

1. 1

   P. Riis Hansen, C. Hassager. (2003) Septal alcohol ablation and Heyde's syndrome revisited. Journal of Internal Medicine 253:4, 490-491
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