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

Yıl 2019, Cilt: 6 Sayı: 3, 163 - 165, 31.12.2019

Volkan Karakuş , Dilek Ersil Soysal

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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