| Literature DB >> 1447656 |
S Kitagawa1, W A Gleason, H Northrup, M R Middlebrook, E Ueberschar.
Abstract
A child with trisomy 21 had altered mental status and hyperammonemia at presentation and was found to have a congenital portosystemic shunt as a result of a congenital abnormality of the portal venous system. Anomalies of the portal venous system leading to portosystemic shunting, although they are infrequent, should be considered in the differential diagnosis of hyperammonemia.Entities:
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Year: 1992 PMID: 1447656 DOI: 10.1016/s0022-3476(05)80341-5
Source DB: PubMed Journal: J Pediatr ISSN: 0022-3476 Impact factor: 4.406