Rapid correction of severe hyponatremia after hysteroscopic surgery – a case report View Full Text


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Article Info

DATE

2015-06-09

AUTHORS

Philip Hepp, Tobias Jüttner, Ines Beyer, Tanja Fehm, Wolfgang Janni, Enrico Monaca

ABSTRACT

BackgroundOne of the most feared complications during hysteroscopic surgery is haemodilution by absorption of distension media. One facet of haemodilution, i.e. hyponatremia, can lead to respiratory distress, pulmonary oedema, as well as cardiovascular collapse.Case presentationHere we report the swift recovery of a 45 year, female, Caucasian patient with acute hyponatremia (74 mEq/L) and pulmonary oedema by the employment of rapid correctional strategies.ConclusionThe absorption of irrigation fluids, as presented in this case, is an inevitable side effect of hysteroscopic surgery. Utmost caution should, therefore, be mandatory to reduce and actively monitor fluid intake. If these measures fail, as in the case presented here, it is essential to rapidly eliminate any free water and to normalize the sodium levels. Anecdotal reports of pontine myelinolysis are not in line with literature concerning acute hyponatremia and should, therefore, not obstruct determined action against it. More... »

PAGES

85

References to SciGraph publications

  • 2008-10-15. Das gynäkologische „TUR-Syndrom“ in DIE ANAESTHESIOLOGIE
  • 2012-09-30. How quickly can acute symptomatic hyponatremia be corrected? in INTERNATIONAL UROLOGY AND NEPHROLOGY
  • 2013-01-24. Reversible myoclonus in a patient undergoing transcervical hysteroscopic surgery in NEUROLOGICAL SCIENCES
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1186/s12871-015-0070-4

    DOI

    http://dx.doi.org/10.1186/s12871-015-0070-4

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1001482485

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/26051404


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