Recommendation of Repeated Ammonia Tests for Intrahepatic Portal-Systemic Shunt Without Cirrhosis in Elderly Patients With Psychiatric Symptoms

We report an elderly male patient with hyperammonemia induced by intrahepatic portal-systemic shunt without cirrhosis (IPSSwoC). The occasional emergence of his erratic behaviors was misdiagnosed as a psychiatric disorder. Regardless of his uneven symptoms, IPSSwoC was suspected due to his hyperammo...

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Detalles Bibliográficos
Autores principales: Abe, Michiaki, Soga, Temma, Obana, Nobuya, Seiji, Kazumasa, Tabata, Masao, Saito, Natsumi, Arita, Ryutaro, Numata, Takehiro, Tanaka, Junichi, Kuroda, Hitoshi, Takayama, Shin, Kagaya, Yutaka, Ishii, Tadashi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5398300/
https://www.ncbi.nlm.nih.gov/pubmed/28469525
http://dx.doi.org/10.1177/1179066017693597
Descripción
Sumario:We report an elderly male patient with hyperammonemia induced by intrahepatic portal-systemic shunt without cirrhosis (IPSSwoC). The occasional emergence of his erratic behaviors was misdiagnosed as a psychiatric disorder. Regardless of his uneven symptoms, IPSSwoC was suspected due to his hyperammonemia. The contrast computed tomography of the abdomen revealed a congenital type of IPSSwoC. As blood ammonia levels are inconstant, repeated blood tests are recommended when this disease is suspected in elderly patients with psychiatric symptoms.

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