Journal of Medicine and Palliative Care

Yazarlar: Rabia EZBER, Güray CAN, Zuhal MERCAN, Gizem KAHVECİ, Fatime DEMİR, Müjgan GÜRLER, Meral AKDOĞAN KAYHAN

Konular:Sağlık Bilimleri ve Hizmetleri

Anahtar Kelimeler:Hepatorenal syndrome,Terlipressin,Scrotal ischemia

Özet: Hepatorenal syndrome is a table of kidney failure seen in patients with chronic liver parenchymal disease accompanied by refractory ascites. Vasoconstrictors are given in its treatment. Treatment-related ischemic complications are frequently observed, but ischemic scrotal pain has not been reported. In our case, a patient with chronic liver parenchymal disease due to chronic hepatitis B and who developed hepatorenal syndrome was presented. Scrotal pain and hyperemia of scrotal skin have appeared after the given terlipressin to the patient for hepatorenal syndrome. Treatment was discontinued due to considering an ischemic complication of terlipressin. Scrotal necrosis related to vasoconstrictor therapy has been previously reported. These complications usually occur after the 24th hour of treatment. The development of ischemic findings at first hour of the treatment have prevented possible necrosis in our case.

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