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Hyperammonaemic coma in ureterosigmoid urinary diversion
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- R M Oliver
- Wessex Regional Renal Unit, Department of Renal Medicine, University of Southampton, St Mary’s Hospital , Portsmouth PO3 6AD , UK
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- S Talbot
- Wessex Regional Renal Unit, Department of Renal Medicine, University of Southampton, St Mary’s Hospital , Portsmouth PO3 6AD , UK
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- 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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Description
<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>
Journal
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- Postgraduate Medical Journal
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Postgraduate Medical Journal 65 (765), 502-504, 1989-07-01
Oxford University Press (OUP)
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Keywords
Details 詳細情報について
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- CRID
- 1363107369300446208
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- ISSN
- 14690756
- 00325473
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- Data Source
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- Crossref