Extreme hyponatremia with moderate metabolic acidosis during hysteroscopic myomectomy: A case report.
10.4097/kjae.2011.60.6.440
- Author:
Youn Yi JO
1
;
Hyun Joo JEON
;
Eunkyeong CHOI
;
Yong Seon CHOI
Author Information
1. Department of Anesthesiology and Pain Medicine, Gachon University of Medicine and Science Gil Medical Center, Incheon, Korea.
- Publication Type:Case Report
- Keywords:
Hyponatremia;
Hysteroscopy
- MeSH:
Absorption;
Acidosis;
Adult;
Brain;
Brain Edema;
Female;
Humans;
Hyponatremia;
Hysteroscopy;
Pulmonary Edema
- From:Korean Journal of Anesthesiology
2011;60(6):440-443
- CountryRepublic of Korea
- Language:English
-
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.
