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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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
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author 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
author_facet 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
author_sort Abe, Michiaki
collection PubMed
description 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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spelling pubmed-53983002017-05-03 Recommendation of Repeated Ammonia Tests for Intrahepatic Portal-Systemic Shunt Without Cirrhosis in Elderly Patients With Psychiatric Symptoms 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 Jpn Clin Med Case Report 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. SAGE Publications 2017-03-16 /pmc/articles/PMC5398300/ /pubmed/28469525 http://dx.doi.org/10.1177/1179066017693597 Text en © The Author(s) 2017 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (http://www.uk.sagepub.com/aboutus/openaccess.htm).
spellingShingle Case Report
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
Recommendation of Repeated Ammonia Tests for Intrahepatic Portal-Systemic Shunt Without Cirrhosis in Elderly Patients With Psychiatric Symptoms
title Recommendation of Repeated Ammonia Tests for Intrahepatic Portal-Systemic Shunt Without Cirrhosis in Elderly Patients With Psychiatric Symptoms
title_full Recommendation of Repeated Ammonia Tests for Intrahepatic Portal-Systemic Shunt Without Cirrhosis in Elderly Patients With Psychiatric Symptoms
title_fullStr Recommendation of Repeated Ammonia Tests for Intrahepatic Portal-Systemic Shunt Without Cirrhosis in Elderly Patients With Psychiatric Symptoms
title_full_unstemmed Recommendation of Repeated Ammonia Tests for Intrahepatic Portal-Systemic Shunt Without Cirrhosis in Elderly Patients With Psychiatric Symptoms
title_short Recommendation of Repeated Ammonia Tests for Intrahepatic Portal-Systemic Shunt Without Cirrhosis in Elderly Patients With Psychiatric Symptoms
title_sort recommendation of repeated ammonia tests for intrahepatic portal-systemic shunt without cirrhosis in elderly patients with psychiatric symptoms
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5398300/
https://www.ncbi.nlm.nih.gov/pubmed/28469525
http://dx.doi.org/10.1177/1179066017693597
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