Extreme hyponatremia with moderate metabolic acidosis during hysteroscopic myomectomy: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 440-443, 2011.
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Edema Pulmonar
/
Acidose
/
Encéfalo
/
Edema Encefálico
/
Histeroscopia
/
Absorção
/
Hiponatremia
Limite:
Adulto
/
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
2011
Tipo de documento:
Artigo
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