Recommendation of Repeated Ammonia Tests for Intrahepatic Portal-Systemic Shunt Without Cirrhosis in Elderly Patients With Psychiatric Symptoms-Reference-Cited by-同舟云学术

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

Published:2017-01-01 Issue: Volume:8 Page:117906601769359
ISSN:1179-6707
Container-title:Japanese Clinical Medicine
language:en
Short-container-title:Jpn Clin Med

Author:

Abe Michiaki¹,Soga Temma¹²,Obana Nobuya³,Seiji Kazumasa⁴,Tabata Masao²,Saito Natsumi¹,Arita Ryutaro¹,Numata Takehiro¹,Tanaka Junichi¹,Kuroda Hitoshi¹,Takayama Shin¹,Kagaya Yutaka⁵,Ishii Tadashi¹

Affiliation:

1. Department of Education and Support for Regional Medicine, Tohoku University Hospital, Sendai, Japan

2. Graduate Medical Education Center, Tohoku University Hospital, Sendai, Japan

3. Department of Gastroenterology, Osaki Citizen Hospital, Osaki, Japan

4. Department of Radiology, Tohoku University Hospital, Sendai, Japan

5. Office of Medical Education, Tohoku University School of Medicine, Sendai, Japan

Abstract

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.

Publisher

SAGE Publications

Subject

General Materials Science

Link

http://journals.sagepub.com/doi/pdf/10.1177/1179066017693597

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