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

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 hyperammo...

Full description

Saved in:
Bibliographic Details
Published inJapanese clinical medicine Vol. 2017; no. 8; p. 1179066017693597
Main Authors Abe, Michiaki, Soga, Temma, Obana, Nobuya, Seiji, Kazumasa, Tabata, Masao, Saito, Natsumi, Arita, Ryutaro, Numata, Takehiro, Tanaka, Junichi, Kuroda, Hitoshi, Takayama, Shin, Kagaya, Yutaka, Ishii, Tadashi
Format Journal Article
LanguageEnglish
Published London, England SAGE Publishing 16.03.2017
SAGE Publications
Sage Publications Ltd. (UK)
Sage Publications Ltd
Subjects
Blood
Brain research
Case Report
Hepatitis
Liver cirrhosis
Mental disorders
Older people
Proteins
Tomography
Portal-systemic shunt without cirrhosis
hyperammonemia
psychiatric symptoms
Online AccessGet full text

Cover

More Information
Summary: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.
ISSN:1179-6707
1179-6707
1179-0660
DOI:10.1177/1179066017693597