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Case Reports
. 1989 Jul;65(765):502-4.
doi: 10.1136/pgmj.65.765.502.

Hyperammonaemic coma in ureterosigmoid urinary diversion

R M Oliver  1 , S Talbot, G V Raman
Affiliations
Case Reports

Hyperammonaemic coma in ureterosigmoid urinary diversion

R M Oliver et al. Postgrad Med J. 1989 Jul.

Abstract

We report on a patient with ureterosigmoid anastomosis, who presented with recurrent episodes of confusion, agitation and aggressive behaviour, culminating in coma. Investigations revealed profound hyperammonaemia, which responded to treatment with sodium benzoate and sodium phenylacetate. No definite cause was found for the abnormality, apart from possible urinary tract infection. The patient remains well on a protein restricted diet with mildly elevated levels of plasma ammonia.

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References

    1. N Engl J Med. 1981 Jun 18;304(25):1546 - PubMed
    1. Lancet. 1985 Dec 7;2(8467):1271-4 - PubMed
    1. N Engl J Med. 1957 Mar 7;256(10):460-2 - PubMed
    1. Lancet. 1958 Nov 1;2(7053):937-9 - PubMed
    1. N Engl J Med. 1981 Mar 26;304(13):766-8 - PubMed

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