Hyperammonaemic coma in ureterosigmoid urinary diversion.

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Hyperammonaemic coma in ureterosigmoid urinary diversion.

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 ...

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Successful extracorporeal treatment of a male with hyperammonaemic coma.

Children with urea cycle disorders present with hyperammonaemia and its non-specific symptoms. Acute hyperammonaemia is a medical emergency as the developmental and neurological outcome depends on the duration of hyperammonaemic coma [1]. The longer endogenous protein catabolism continues, the more ammonia will be produced and accumulate and the greater is the risk of coma. To minimize permanen...

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Urinary Diversion

I am deeply indebted to the radiologists of the Royal Victoria Hospital, and in particular to Doctor D. C. Porter, for a great deal of help and advice, as well as for the X-ray examinations. I am obliged to the visiting medical staff of the Belfast City Hospital who have kindly allowed me to use their notes and X-rays in some cases. I owe the haematological examinations to Doctor M. G. Nelson a...

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Urinary diversion in children.

Scott, J. E. S. (1973). Archives of Disease in Childhood, 48, 199. Urinary diversion in children. A series of 60 children subjected to urinary diversion is described. Particular emphasis is placed on the long-term results of 41 ileal conduit operations. The upper urinary tract became dilated postoperatively in 9 children in whom it had been normal preoperatively, dilatation increased in 1 child...

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Traumatic urinary diversion caused by gunshot injury in a stallion

A seven-year-old stallion with diversion of urinary pass to the thigh due to a urethral fistula caused by gunshot perineal injury was presented to the Urmia University, Veterinary Teaching Hospital. No signs of urinary obstruction or renal failure were observed. Because of inaccessible location of the injured urethra, through a perineal urethrotomy incision, a urinary catheter was effectively a...

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ژورنال

عنوان ژورنال: Postgraduate Medical Journal

سال: 1989

ISSN: 0032-5473

DOI: 10.1136/pgmj.65.765.502