Open AccessAdult‐onset noncirrhotic hyperammonemic encephalopathy probably caused by splenorenal shunts
Author(s) -
Yoshizawa Kazuhiro,
Yonezawa Naoki,
Takei Tetsuhiro,
Sugiki Kei
Publication year - 2022
Publication title -
clinical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 9
ISSN - 2050-0904
DOI - 10.1002/ccr3.5774
Subject(s) - medicine , encephalopathy , hyperammonemia , cirrhosis , pediatrics , differential diagnosis , hepatic encephalopathy , surgery , intensive care medicine , pathology
This case illustrates adult‐onset noncirrhotic hyperammonemic encephalopathy, which is most likely caused by splenorenal shunts and is a rare but potentially fatal cause of altered mentation in the critical care setting. Splenorenal shunts should be considered as a differential in cases of hyperammonemic encephalopathy without liver cirrhosis.