Acute hyperammonemic encephalopathy due to a portosystemic shunt in a non-cirrhotic adult patient.
J Crit Care. 2019 May 28;53:59-61
Authors: Fuster-Cabré M, Ezquerro-Sáenz S, Requena-Calleja MÁ, Medrano-Peña J, Lapetra-Labé AM
OBJECTIVE: To report a successfully treated hyperammonemia due to a portosystemic shunt in adult patient.
DATA SOURCE: A patient with an altered mental status due to severe elevated ammonia level because of a portosystemic shunt.
CONCLUSIONS: Hyperammonemia is not always related to liver failure in critically ill patients, but should be considered in all unknown origins of an altered mental status. A portosystemic shunt can be the responsible for this phenomenon, and it has a newly treatment technique named plug-assisted retrograde transvenous obliteration (PARTO), which can be quickly performed with high technical success rate and clinical efficacy for the treatment of the splenorenal and/or gastrorenal shunt.
PMID: 31195157 [PubMed - as supplied by publisher]