title: Type II citrullinemia in an elderly patient treated with living related partial liver transplantation.
abstract: A 60-year-old woman was admitted to our hospital for repeated consciousness disturbance. Blood examination showed hyperammonemia, and plasma amino acid analysis revealed a marked increase in the citrulline level. To establish a diagnosis, a percutaneous needle biopsy of the liver was performed. The determination of the urea cycle enzyme activities revealed a selective marked decrease in argininosuccinate synthetase activity, indicating the final diagnosis of type II citrullinemia. The mean survival period of this disease after the appearance of symptoms has been reported as 26.4 months, and most conservative treatments are not effective. We performed a living related partial liver transplantation. Over the subsequent 13-month follow-up, the patient's condition has remained fairly good.
authors.affiliation: First Department of Internal Medicine, Gifu University School of Medicine and Matsunami General Hospital.
authors.forename: K
authors.initials: K
authors.lastname: Takenaka
authors.forename: I
authors.initials: I
authors.lastname: Yasuda
authors.forename: H
authors.initials: H
authors.lastname: Araki
authors.forename: T
authors.initials: T
authors.lastname: Naito
authors.forename: Y
authors.initials: Y
authors.lastname: Fukutomi
authors.forename: H
authors.initials: H
authors.lastname: Ohnishi
authors.forename: N
authors.initials: N
authors.lastname: Yamakita
authors.forename: T
authors.initials: T
authors.lastname: Hasegawa
authors.forename: H
authors.initials: H
authors.lastname: Sato
authors.forename: Y
authors.initials: Y
authors.lastname: Shimizu
authors.forename: H
authors.initials: H
authors.lastname: Matsunami
authors.forename: H
authors.initials: H
authors.lastname: Moriwaki
mesh_terms: D001707:Biopsy, Needle; D020159:Citrullinemia / Q000175:diagnosis / Q000601:surgery*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008099:Liver / Q000473:pathology; D016031:Liver Transplantation / Q000379:methods; D019520:Living Donors; D008875:Middle Aged; D016019:Survival Analysis; D014057:Tomography, X-Ray Computed