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Svaer reversibel penisiskaemi ved behandling af hepatorenalt syndrom med terlipressin
Engelsk titel: Severe reversible penile ischaemia after terlipressin treatment of hepatorenal syndrome Läs online Författare: Lange, Lotte Borg ; Borg, Kristine Språk: Dan Antal referenser: 4 Dokumenttyp: Fallbeskrivning UI-nummer: 19110341

Tidskrift

Ugeskrift for Laeger 2019;181(16)1528-30 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

This case report presents a 70-year-old man with alcoholic liver cirrhosis, who was hospitalised due to pulmonary oedema, and who developed acute renal injury. Though the criteria were not fulfilled, hepatorenal syndrome was suspected and treated with terlipressin, after which the patient developed severe penile ischaemia. Hepatorenal syndrome is one of many potential causes of acute kidney injury in patients with acute or chronic liver disease. The syndrome is an exclusion diagnosis, and other causes of liver and renal failure should be investigated, before treatment is started. A flow chart can be used for a correct diagnosis.