Pseudohypocalcemia after magnetic resonance imaging with gadolinium in patients with cirrhosis
Costas H. Kefalas, Natalie G.B. Murray, James J. Aguanno, William D. Dockery, Jeffrey S. Weinstein, Katherine Anderson, Goran B. Klintmalm – 6 January 2004 – Hypocalcemia in patients with cirrhosis may be due to a number of causes. We noted a relationship between injection with gadodiamide, a particular gadolinium chelate, during magnetic resonance imaging of the liver and the development of a falsely low serum total calcium level in a patient with cirrhosis. A cross‐reference and retrospective chart review identified 10 additional patients in whom this phenomenon was noted.