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This is the first case report of hyperammonemic encephalopathy in a cervical cancer patient associated with postradiotherapy vesicointestinal fistula. A 52\u2010year\u2010old woman developed diarrhea due to vesicosigmoidal fistula 14\u2009years after radical hysterectomy and radiotherapy to treat cervical cancer. She refused urinary and\/or fecal diversion. Twelve months after the diagnosis of fistula, she was admitted due to somnolence. Blood examination showed hyperammonemia without liver dysfunction. Urine culture showed Proteus rettgeri and <jats:italic>Klebsiella pneumoniae<\/jats:italic>. She recovered after intravenous antibiotics. Eight months after recovery, she was readmitted due to somnolence reoccurring with failed intravenous, but successful oral antibiotic treatment. She finally agreed to undergo percutaneous nephrostomy and hyperammonemia never recurred during 7\u2009years of follow\u2010up.<\/jats:p>","DOI":"10.1111\/jog.14865","type":"journal-article","created":{"date-parts":[[2021,5,26]],"date-time":"2021-05-26T23:35:44Z","timestamp":1622072144000},"page":"2790-2793","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Hyperammonemic encephalopathy associated with post\u2010radiotherapy vesicointestinal fistula following cervical cancer"],"prefix":"10.1111","volume":"47","author":[{"given":"Kumiko","family":"Kato","sequence":"first","affiliation":[{"name":"Department of Female Urology Japanese Red Cross Nagoya First Hospital  Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keiko","family":"Okumura","sequence":"additional","affiliation":[{"name":"Department of Urology Japanese Red Cross Nagoya First Hospital  Nagoya Japan"},{"name":"Department of 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