Secondary Scrotal Necrosis to Terlipressin Treatment in a Patient with Hepatorenal Syndrome

Öz

Hepatorenal syndrome is a reversible acute renal impairment that occurs in patients with advanced liver cirrhosis or fulminant hepatic failure. Terlipressin is a synthetic long-acting analogue of vasopressin that is used in the treatment of hepatorenal syndrome. Ischemic adverse events of the treatment with terlipressin have been reported. We present a rare complication of terlipressin usage, ischemic skin necrosis of the scrotum, in a patient with advanced liver cirrhosis and hepatorenal syndrome.

Anahtar Kelimeler

• Glypressin,Hepatorenal Syndrome,Liver Cirrhosis,Vascular

Hepatorenal Sendromlu Bir Hastada Terlipressin Tedavisine İkincil Skrotal Nekroz

Öz

Hepatorenal sendrom, ilerlemiş karaciğer sirozu veya fulminan karaciğer yetmezliği olan hastalarda ortaya çıkan, tersinir bir akut böbrek yetmezliğidir. Terlipressin, hepatorenal sendromun tedavisinde kullanılan sentetik uzun süre etkili bir vazopressin analoğudur. Terlipressin ile tedavinin iskemik advers olayları bildirilmiştir. Karaciğer sirozu ve hepatorenal sendromlu bir hastada terlipressin kullanımının nadir görülen bir komplikasyonunu, skrotumun iskemik cilt nekrozunu sunuyoruz.

Anahtar Kelimeler

• Glipressin,Hepatorenal Sendrom,Karaciğer Sirozu,Vasküler

Kaynakça

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