[Hyperammonemia encephalopathy after ureterosigmoidostomy].
Ureterosigmoidostomy (USS) for bladder cancer is an attractive surgical technique for the improved quality of life provided to the patient, notably from a preserved body image. Complications, however, can jeopardize this result. We report the case of a woman who developed an hyperammonemic encephalopathy after USS "Mainz pouch II". We discuss the indication of a liver needle biopsy before USS when hepatic functions are abnormal and we stress the importance of regular "rectal exonerations" during the day.
Donnard
G
G
Département d'Anesthésie-Réanimation (Pr Quinot), HIA Sainte-Anne, Toulon-Naval.
Dumotier
J
J
Le Dantec
P
P
Suppini
A
A
Quinot
J F
JF
D000641:Ammonia / Q000097:blood*; D012809:Colon, Sigmoid / Q000601:surgery*; D003128:Coma / Q000209:etiology* / Q000378:metabolism; D015653:Cystectomy / Q000009:adverse effects; D005260:Female; D006801:Humans; D008111:Liver Function Tests; D008875:Middle Aged; D014513:Ureter / Q000601:surgery*; D014547:Urinary Diversion / Q000009:adverse effects* / Q000379:methods
D000641:Ammonia
Encéphalopathie hyperammoniémique après urétérosigmoïdostomie.