Hyperammonemic encephalopathy associated with post‐radiotherapy vesicointestinal fistula following cervical cancer.
The majority of hyperammonemic encephalopathy is due to liver cirrhosis. However, urinary tract infection caused by urease‐producing bacteria increases ammonia in urine and can lead to hyperammonemic encephalopathy, especially in cases with obstructive uropathy and vesicointestinal fistula. This is...
| Publicado en: | Journal of Obstetrics & Gynaecology Research Vol. 47; no. 8; pp. 2790 - 2794 |
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| Autores principales: | , , , , , |
| Formato: | case study diagnostic images tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Aug2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151721900&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151721900 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13418076 Q17 jtl: Journal of Obstetrics & Gynaecology Research issn: 13418076 maglogo: Y pubinfo: dt: Aug2021 vid: 47 iid: 8 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 151721900 150486646 151721900 151721900 10.1111/jog.14865 151721900 ppf: 2790 ppct: 4 formats: tig: atl: Hyperammonemic encephalopathy associated with post‐radiotherapy vesicointestinal fistula following cervical cancer. aug: au: Kato, Kumiko Okumura, Keiko Suzuki, Shoji Matsuyama, Aika Hirabayashi, Hiroki Hattori, Ryohei affil: Department of Female Urology, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan sug: subj: Cervix Neoplasms Radiotherapy Radiotherapy Adverse Effects Treatment Complications, Delayed Intestinal Fistula Complications Brain Diseases, Metabolic Diagnosis Middle Age Female Diarrhea Etiology Sleepiness Etiology Ammonia Blood Urinalysis Urease Urinary Tract Infections Intestinal Fistula Surgery Nephrostomy, Percutaneous Middle Aged: 45-64 years Female ab: The majority of hyperammonemic encephalopathy is due to liver cirrhosis. However, urinary tract infection caused by urease‐producing bacteria increases ammonia in urine and can lead to hyperammonemic encephalopathy, especially in cases with obstructive uropathy and vesicointestinal fistula. This is the first case report of hyperammonemic encephalopathy in a cervical cancer patient associated with postradiotherapy vesicointestinal fistula. A 52‐year‐old woman developed diarrhea due to vesicosigmoidal fistula 14 years after radical hysterectomy and radiotherapy to treat cervical cancer. She refused urinary and/or fecal diversion. Twelve months after the diagnosis of fistula, she was admitted due to somnolence. Blood examination showed hyperammonemia without liver dysfunction. Urine culture showed Proteus rettgeri and Klebsiella pneumoniae. She recovered after intravenous antibiotics. Eight months after recovery, she was readmitted due to somnolence reoccurring with failed intravenous, but successful oral antibiotic treatment. She finally agreed to undergo percutaneous nephrostomy and hyperammonemia never recurred during 7 years of follow‐up. pubtype: Academic Journal doctype: case study diagnostic images tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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