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Case Reports
. 2017 Oct-Dec;80(4):537-538.

Sorafenib induced hepatic encephalopathy

Affiliations
  • PMID: 29560652
Free article
Case Reports

Sorafenib induced hepatic encephalopathy

S S Sidhu et al. Acta Gastroenterol Belg. 2017 Oct-Dec.
Free article

Abstract

A 60 year old male, known case of Hepatitis C related cirrhosis was diagnosed with exophytic Hepatocellular carcinoma (size 2.1 x 2.2 cm), Barcelona Clinic Liver Cancer Stage A, on routine surveillance. He refused liver Transplant and underwent laparoscopic segmental resection. Thereafter patient was started on Tablet Sorafenib 400mg twice daily to prevent recurrence of Hepatocellular carcinoma. On 18st post-operative day, patient presented with Hepatic encephalopathy. Routine investigations and MRI Brain were normal; Venous ammonia was high. Sorafenib was discontinued, and neurological symptoms resolved within 24 hours. The ammonia level decreased from 112 to 30 μmol/L. Hepatic encephalopathy recurred 14 days after Sorafenib reintroduction at a dose of 400 mg / day. It resolved within 24 hours of withdrawal of Sorafenib. Sorafenib induced recurrent acute overt Hepatic encephalopathy with biochemical corroboration is reported here.

Keywords: Sorafenib; hepatic encephalopathy; hepatocellular carcinoma.

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