Your browser doesn't support javascript.
loading
Recommendation of Repeated Ammonia Tests for Intrahepatic Portal-Systemic Shunt Without Cirrhosis in Elderly Patients With Psychiatric Symptoms.
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.
Affiliation
  • Abe M; Department of Education and Support for Regional Medicine, Tohoku University Hospital, Sendai, Japan.
  • Soga T; Department of Education and Support for Regional Medicine, Tohoku University Hospital, Sendai, Japan.
  • Obana N; Graduate Medical Education Center, Tohoku University Hospital, Sendai, Japan.
  • Seiji K; Department of Gastroenterology, Osaki Citizen Hospital, Osaki, Japan.
  • Tabata M; Department of Radiology, Tohoku University Hospital, Sendai, Japan.
  • Saito N; Graduate Medical Education Center, Tohoku University Hospital, Sendai, Japan.
  • Arita R; Department of Education and Support for Regional Medicine, Tohoku University Hospital, Sendai, Japan.
  • Numata T; Department of Education and Support for Regional Medicine, Tohoku University Hospital, Sendai, Japan.
  • Tanaka J; Department of Education and Support for Regional Medicine, Tohoku University Hospital, Sendai, Japan.
  • Kuroda H; Department of Education and Support for Regional Medicine, Tohoku University Hospital, Sendai, Japan.
  • Takayama S; Department of Education and Support for Regional Medicine, Tohoku University Hospital, Sendai, Japan.
  • Kagaya Y; Department of Education and Support for Regional Medicine, Tohoku University Hospital, Sendai, Japan.
  • Ishii T; Office of Medical Education, Tohoku University School of Medicine, Sendai, Japan.
Jpn Clin Med ; 8: 1179066017693597, 2017.
Article in En | MEDLINE | ID: mdl-28469525
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.
Key words
Fulltext
Add to My VHL
Print
XML
PubMed Links
Search on Google

Full text: 1 Collection: 01-internacional Database: MEDLINE Type of study: Diagnostic_studies Language: En Journal: Jpn Clin Med Year: 2017 Document type: Article Affiliation country:
Fulltext
Add to My VHL
Print
XML
PubMed Links
Search on Google

Full text: 1 Collection: 01-internacional Database: MEDLINE Type of study: Diagnostic_studies Language: En Journal: Jpn Clin Med Year: 2017 Document type: Article Affiliation country: