Acute hyperammonemic encephalopathy due to a portosystemic

Journal of critical care · Oct 2019

Case Reports

Acute hyperammonemic encephalopathy due to a portosystemic shunt in a non-cirrhotic adult patient.

To report a successfully treated hyperammonemia due to a portosystemic shunt in adult patient. ⋯ 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.

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- Maria Fuster-Cabré, Santiago Ezquerro-Sáenz, María-Ángeles Requena-Calleja, Joaquín Medrano-Peña, and Ana-María Lapetra-Labé.
- Department of Intensive Care Medicine, Hospital Universitario Miguel Servet, Zaragoza, Spain. Electronic address: mfustercabre@gmail.com.
- J Crit Care. 2019 Oct 1; 53: 59-61.
ObjectiveTo report a successfully treated hyperammonemia due to a portosystemic shunt in adult patient.Data SourceA patient with an altered mental status due to severe elevated ammonia level because of a portosystemic shunt.ConclusionsHyperammonemia 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.Copyright © 2019 Elsevier Inc. All rights reserved.

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Acute hyperammonemic encephalopathy due to a portosystemic shunt in a non-cirrhotic adult patient.

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