Severe Hypocalcemia Caused by Absorption of Sorbitol-Mannitol Solution during Hysteroscopy
Journal of Korean Medical Science
;
: 532-534, 2009.
Artículo
en Inglés
| WPRIM
| ID: wpr-36928
ABSTRACT
Hysteroscopic procedure can be complicated by intravascular absorption of irrigating fluid. The clinical features of this complication are similar to transurethral resection of the prostate (TURP) syndrome. There have been few reports on hypocalcemia during endoscopoic surgery and clinical implications of hypocalcemia in TURP syndrome have been underestimated. We report a case of TURP syndrome association with a decreased ionized calcium concentration of 0.53 mM/L after the absorption of a large amount of sorbitol-mannitol solution during hysteroscopy. The hypotension which occurred in TURP syndrome did not respond to vasopressor and inotropic agent but responded to the administration of calcium. This case was also accompanied by hyponatremia, hyperglycemia and lactic acidosis through the metabolism of sorbitol.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Edema Pulmonar
/
Sorbitol
/
Histeroscopía
/
Hipocalcemia
/
Cuidados Intraoperatorios
/
Irrigación Terapéutica
/
Manitol
Límite:
Femenino
/
Humanos
Idioma:
Inglés
Revista:
Journal of Korean Medical Science
Año:
2009
Tipo del documento:
Artículo
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