Hyperammonaemic coma in ureterosigmoid urinary diversion

R M Oliver, S Talbot, G V Raman

doi:10.1136/pgmj.65.765.502

Hyperammonaemic coma in ureterosigmoid urinary diversion

DOI PDF 被引用文献4件

R M Oliver

Wessex Regional Renal Unit, Department of Renal Medicine, University of Southampton, St Mary’s Hospital , Portsmouth PO3 6AD , UK
S Talbot

Wessex Regional Renal Unit, Department of Renal Medicine, University of Southampton, St Mary’s Hospital , Portsmouth PO3 6AD , UK
G V Raman

Wessex Regional Renal Unit, Department of Renal Medicine, University of Southampton, St Mary’s Hospital , Portsmouth PO3 6AD , UK

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説明

<jats:title>Summary</jats:title> <jats:p>We report on a patient with ureterosigmoid anastomosis, who presented with recurrent episodes of confusion, agitation and aggressive behaviour, culminating in coma. Investigations revealed profound hyperammonaemia, which responded to treatment with sodium benzoate and sodium phenylacetate. No definite cause was found for the abnormality, apart from possible urinary tract infection. The patient remains well on a protein restricted diet with mildly elevated levels of plasma ammonia.</jats:p>