Case Report
Fatal Nonhepatic Hyperammonemia in ICU Setting: A Rare but Serious Complication following Bariatric Surgery
Table 1
Basic laboratory investigations.
| Lab. test | Results | Ref. range |
| WBC | 8.34 | 4.5–10.9 k/μL | Hb | 5.4 | 12.5–15.0 g/dL | Platelets | 116 | 130–400 k/μL | Sodium | 136 | 135–145 mmol/L | Potassium | 4.8 | 3.6–5.2 mmol/L | BUN | 11 | 6–21 mg/dL | Creatinine | 2.1 | 0.6–1.1 mg/dL | Glucose | 113 | 70–140 mg/dL | INR | 2.15 | 0.8–1.2 | aPTT | 67.5 | 28–38 sec | CPK | 466 | 22–198 IU/L | AST | 49 | 13–40 IU/L | ALT | 23 | 17–35 IU/L | ALP | 116 | 37–130 U/L | Albumin | 1.8 | 3.5–5.0 g/dL | Prealbumin | <5 | 20–40 μg/dL | HDL | <5 | >50 mg/dL | LDL | 95 | <100 mg/dL | TG | 133 | <150 mg/dL | S. | 193 | <30 μmol/L | P. zinc | 23 | 60–130 μg/dL | S. copper | 57 | 70–175 μg/dL | 24 hr U. Cu | 25 | 15–60 μg/24 hr | Valproate | <1.0 | 50–100 μg/mL | Lithium | <0.1 | 0.8–1.2 mmol/L |
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WBC: white blood cells; Hb: hemoglobin; BUN: blood urea nitrogen; PT: prothrombin time; INR: international normalized ratio; aPTT: activated partial thrombin time; CPK: creatinine phosphokinase; AST/ALT: aspartate/alanine aminotransferase; ALP: alkaline phosphatase; HDL: high-density lipoprotein; LDL: low-density lipoprotein; TG: triglycerides; P.: plasma; S.: serum.
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