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OBJECTIVE To report a successfully treated hyperammonemia due to a portosystemic shunt in adult patient. DATA SOURCE A patient with an altered mental status due to severe elevated ammonia level… Click to show full abstract
OBJECTIVE To report a successfully treated hyperammonemia due to a portosystemic shunt in adult patient. DATA SOURCE A patient with an altered mental status due to severe elevated ammonia level because of a portosystemic shunt. CONCLUSIONS 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.
Journal Title: Journal of critical care
Year Published: 2019
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