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A rare case of hemodialysis-related portosystemic encephalopathy and review of the literature.
Geerinckx, Barbara; Hellemans, Rachel; Van Craenenbroeck, Amaryllis H; Francque, Sven; De Waele, Liesbeth; Kerstens, Jeroen; Van Gaal, Pieter-Jan; Bracke, Bart; Michielsen, Peter; Vanwolleghem, Thomas.
  • Geerinckx B; Department of Nephrology, University Hospital of Antwerp , Edegem, Belgium.
  • Hellemans R; Department of Gastro-enterology and Hepatology, University Hospital of Antwerp , Edegem, Belgium.
  • Van Craenenbroeck AH; Department of Nephrology, University Hospital of Antwerp , Edegem, Belgium.
  • Francque S; Department of Nephrology, University Hospital of Antwerp , Edegem, Belgium.
  • De Waele L; Laboratory of Experimental Medicine and Pediatrics, University of Antwerp , Edegem, Belgium.
  • Kerstens J; Department of Gastro-enterology and Hepatology, University Hospital of Antwerp , Edegem, Belgium.
  • Van Gaal PJ; Department of Nephrology, University Hospital of Antwerp , Edegem, Belgium.
  • Michielsen P; Department of Nephrology, University Hospital of Antwerp , Edegem, Belgium.
  • Vanwolleghem T; Department of Hepatobiliary Surgery, University Hospital of Antwerp , Edegem, Belgium.
Acta Clin Belg ; 75(4): 296-300, 2020 Aug.
Article en En | MEDLINE | ID: mdl-30919753
ABSTRACT
Hemodialysis-related portosystemic encephalopathy (HRPSE) is a clinical phenomenon where portosystemic encephalopathy (PSE) develops without liver dysfunction, usually caused by changes in the portosystemic blood flow related to hemodialysis. We describe the case of a 22-year old patient with a transjugular intrahepatic portosystemic shunt (TIPS) who developed HRPSE several months after initiation of hemodialysis. Despite initial therapy with laxatives and neomycin symptoms recurred. It was only after relocation of the hemodialysis catheter from the superior caval vein to the femoral vein that symptoms completely resolved.
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Encefalopatía Hepática / Diálisis Renal / Derivación Portosistémica Intrahepática Transyugular / Síndromes de Puntos Blancos / Fallo Renal Crónico / Cirrosis Hepática Tipo de estudio: Etiology_studies Límite: Adult / Humans / Male Idioma: En Año: 2020 Tipo del documento: Article
Texto completo
Imprimir
XML
PubMed Links
Search on Google

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Encefalopatía Hepática / Diálisis Renal / Derivación Portosistémica Intrahepática Transyugular / Síndromes de Puntos Blancos / Fallo Renal Crónico / Cirrosis Hepática Tipo de estudio: Etiology_studies Límite: Adult / Humans / Male Idioma: En Año: 2020 Tipo del documento: Article