Hepatorenal syndrome in a child with cystic fibrosis: analysis of a clinical case

Hepato-renal syndrome (HRS) is a rare complication that may accompany end-stage cystic fibrosis-associated cirrhosis in patients with fibrosis. There currently no unified protocol for the diagnosis and treatment of HRS fibrosis, particularly pediatric patients. The main approaches to diagnosing condition are detect signs acute renal failure patient severe liver damage absence shock organic kidney or use nephrotoxic drugs. Treatment based on appointment vasoconstrictors combination albumin infusion exclusion factors promote development HRS, but method final therapy remains transplantation. article presents an analysis clinical case its child Immediate detection risk (massive protracted surgical interventions, significant volume extracted ascitic rudin, limiting drugs high-dose loop diuretics) way prevent complications. recognition proper management protect life before transplantation, as well preserve quality research was carried out accordance principles Helsinki Declaration. informed consent obtained conducting studies. No conflict interests declared by authors. Key words: hepatorenal syndrome, cirrhosis, ascites, terlipressin.