Hyperammonemic encephalopathy due to suture line breakdown after bladder operation.
A patient is described with a severe encephalopathy and hyperammonemia in absence of liver dysfunction, attributed to urine absorption into the systemic circulation due to suture line breakdown after bladder dome resection. At autopsy characteristic Alzheimer type II astrocytes were found in the basal ganglia.
Boogerd
W
W
Department of Neurology, Netherlands Cancer Institute (Antoni van Leeuwenhoekhuis), Amsterdam.
Zoetmulder
F A
FA
Moffie
D
D
D000368:Aged; D000641:Ammonia / Q000097:blood* / Q000134:cerebrospinal fluid; D001253:Astrocytes / Q000473:pathology; D001921:Brain / Q000473:pathology; D002295:Carcinoma, Transitional Cell / Q000601:surgery*; D006801:Humans; D008111:Liver Function Tests; D008297:Male; D001523:Mental Disorders / Q000097:blood / Q000209:etiology* / Q000473:pathology; D011183:Postoperative Complications; D013529:Surgical Wound Dehiscence / Q000150:complications*; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D014556:Urine
D000641:Ammonia