Extreme hyponatremia with moderate metabolic acidosis during hysteroscopic myomectomy: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 440-443, 2011.
Article
in English
| WPRIM
| ID: wpr-226272
ABSTRACT
Excess absorption of fluid distention media remains an unpredictable complication of operative hysteroscopy and may lead to lethal conditions. We report an extreme hyponatremia, caused by using an electrolyte-free 5 1 sorbitol/mannitol solution as distention/irrigation fluid for hysteroscopic myomectomy. A 34-year-old female developed severe pulmonary edema and extreme hyponatremia (83 mmol/L) during transcervical endoscopic myomectomy. A brain computed tomography showed mild brain swelling without pontine myelinolysis. The patient almost fully recovered in two days. Meticulous attention should be paid to intraoperative massive absorption of fluid distention media, even during a simple hysteroscopic procedure.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pulmonary Edema
/
Acidosis
/
Brain
/
Brain Edema
/
Hysteroscopy
/
Absorption
/
Hyponatremia
Limits:
Adult
/
Female
/
Humans
Language:
English
Journal:
Korean Journal of Anesthesiology
Year:
2011
Type:
Article
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