Hyperammonemic Encephalopathy: A Complication of Gastric Bypass Surgery

Hyperammonemia is a metabolic abnormality characterized by elevated levels of ammonia in the blood. This case report illustrates a 72-year-old Caucasian female with a history of prior gastric bypass surgery done 15 years ago, who was admitted multiple times for acute encephalopathy over the course o...

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Detalles Bibliográficos
Autores principales: Reddy, Varun, Patel, Jinal K, Weerasinghe, Dilendra, Frunzi, Johnathan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Internal Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7500741/
https://www.ncbi.nlm.nih.gov/pubmed/32963905
http://dx.doi.org/10.7759/cureus.9864
Descripción
Sumario:Hyperammonemia is a metabolic abnormality characterized by elevated levels of ammonia in the blood. This case report illustrates a 72-year-old Caucasian female with a history of prior gastric bypass surgery done 15 years ago, who was admitted multiple times for acute encephalopathy over the course of a few months. The patient was found to have a gastro-gastric fistula seen on a CT scan of the abdomen, which was the culprit of her acute encephalopathy. The patient underwent fistula closure via esophagogastroduodenoscopy.

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