Fatal Nonhepatic Hyperammonemia in ICU Setting: A Rare but Serious Complication following Bariatric Surgery
المؤلفون المشاركون
Acharya, Gyanendra Kumar
Mehra, Sunil
Patel, Ronakkumar
Frunza-Stefan, Simona
Kaur, Harmanjot
المصدر
العدد
المجلد 2016، العدد 2016 (31 ديسمبر/كانون الأول 2016)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2016-04-10
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Bariatric surgery is well established in reducing weight and improving the obesity-associated morbidity and mortality.
Hyperammonemic encephalopathy following bariatric surgery is rare but highly fatal if not diagnosed in time and managed aggressively.
Both macro- and micronutrients deficiencies play a role.
A 42-year-old Hispanic female with a history of Roux-en-Y Gastric Bypass Procedure was brought to ED for progressive altered mental status.
Physical exam was remarkable for drowsiness with Glasgow Coma Scale 11, ascites, and bilateral pedal edema.
Labs showed elevated ammonia, low hemoglobin, low serum prealbumin, albumin, HDL, and positive toxicology.
She remained obtunded despite the treatment with Narcan and flumazenil and the serum ammonia level fluctuated despite standard treatment with lactulose and rifaximin.
Laboratory investigations helped to elucidate the etiology of the hyperammonemia most likely secondary to unmasking the functional deficiency of the urea cycle enzymes.
Hyperammonemia in the context of normal liver function tests becomes diagnostically challenging for physicians.
Severe hyperammonemia is highly fatal.
Early diagnosis and aggressive treatment can alter the prognosis favorably.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Acharya, Gyanendra Kumar& Mehra, Sunil& Patel, Ronakkumar& Frunza-Stefan, Simona& Kaur, Harmanjot. 2016. Fatal Nonhepatic Hyperammonemia in ICU Setting: A Rare but Serious Complication following Bariatric Surgery. Case Reports in Critical Care،Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1100453
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Acharya, Gyanendra Kumar…[et al.]. Fatal Nonhepatic Hyperammonemia in ICU Setting: A Rare but Serious Complication following Bariatric Surgery. Case Reports in Critical Care No. 2016 (2016), pp.1-6.
https://search.emarefa.net/detail/BIM-1100453
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Acharya, Gyanendra Kumar& Mehra, Sunil& Patel, Ronakkumar& Frunza-Stefan, Simona& Kaur, Harmanjot. Fatal Nonhepatic Hyperammonemia in ICU Setting: A Rare but Serious Complication following Bariatric Surgery. Case Reports in Critical Care. 2016. Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1100453
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1100453
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر