{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,4,20]],"date-time":"2024-04-20T05:53:50Z","timestamp":1713592430021},"reference-count":6,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,1,28]],"date-time":"2016-01-28T00:00:00Z","timestamp":1453939200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:label \/><jats:p>There have been few reports regarding the improvement of hyperammonemic hepatic encephalopathy after the extirpation of a large uterine leiomyoma. We present a case of a 53\u2010year\u2010old postmenopausal woman who experienced a clouding of consciousness. She had been suffering from mild hepatitis and a large uterine leiomyoma. On admission, she had experienced constipation for seven days and exhibited a high serum ammonia level (251 \u03bcg\/dL). She was diagnosed with liver cirrhosis as a result of autoimmune hepatitis, combined with Sj\u00f6gren's syndrome. A total hysterectomy was performed 29 days after admission. Severe diarrhea lasted for three days after surgery. By the sixth postoperative day, the patient's consciousness level had normalized and her serum ammonia level had fallen to 47 \u03bcg\/dL. Although the true mechanism of hyperammonemia in this case is unclear, we speculate that organic constipation following chronic obstruction of the colon might have played a role in the development of the condition.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.12900","type":"journal-article","created":{"date-parts":[[2016,1,28]],"date-time":"2016-01-28T07:47:02Z","timestamp":1453967222000},"page":"353-357","source":"Crossref","is-referenced-by-count":1,"title":["Gradual improvement of hyperammonemic hepatic encephalopathy after the extirpation of a large uterine leiomyoma in a woman with constipation and liver cirrhosis resulting from autoimmune hepatitis"],"prefix":"10.1111","volume":"42","author":[{"given":"Koutaro","family":"Kunitomo","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Kamiamakusa\u2010Shiritsu Kamiamakusa Sogo Byoin  Kamiamakusa\u2010shi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akihide","family":"Ohkuchi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Jichi Medical University School of Medicine  Shimotsuke\u2010shi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satohiro","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Saitama Medical Center, Jichi Medical University  Omiya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masafumi","family":"Wada","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Kamiamakusa\u2010Shiritsu Kamiamakusa Sogo Byoin  Kamiamakusa\u2010shi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryuichi","family":"Himeno","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Kamiamakusa\u2010Shiritsu Kamiamakusa Sogo Byoin  Kamiamakusa\u2010shi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatsuyoshi","family":"Sakamoto","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Kamiamakusa\u2010Shiritsu Kamiamakusa Sogo Byoin  Kamiamakusa\u2010shi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,1,28]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/480309"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1258\/acb.2011.011206"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/pmj.77.913.717"},{"key":"e_1_2_6_5_1","first-page":"131","article-title":"A case of portal\u2010systemic encephalopathy associated with Sheehan's syndrome","volume":"40","author":"Hashiguchi H","year":"2000","journal-title":"Rinsho Shinkeigaku"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1746.1998.tb00631.x"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1148\/rg.301095724"}],"container-title":["Journal of Obstetrics and Gynaecology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjog.12900","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjog.12900","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jog.12900","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T16:46:05Z","timestamp":1696265165000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/jog.12900"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,1,28]]},"references-count":6,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2016,3]]}},"alternative-id":["10.1111\/jog.12900"],"URL":"https:\/\/doi.org\/10.1111\/jog.12900","archive":["Portico"],"relation":{},"ISSN":["1341-8076","1447-0756"],"issn-type":[{"value":"1341-8076","type":"print"},{"value":"1447-0756","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,1,28]]}}}