Dilutional Hyponatremia during Hysteroscopic Myomectomy: A Case Report.
10.4266/kjccm.2009.24.2.102
- Author:
Si Young OK
1
;
Seung Hwa RYOO
;
Young Hee BAEK
;
Sang Ho KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Soonchunhyang University Hospital, Seoul, Korea. syok2377@naver.com
- Publication Type:Case Report
- Keywords:
complication;
hyponatremia;
hysteroscopy;
pulmonary edema;
Urosol
- MeSH:
Absorption;
Anesthesia, General;
Embolism, Air;
Endometritis;
Female;
Furosemide;
Hemorrhage;
Humans;
Hyponatremia;
Hysteroscopy;
Lacerations;
Middle Aged;
Oxygen;
Pulmonary Edema;
Urinary Bladder;
Uterine Diseases;
Uterine Perforation
- From:The Korean Journal of Critical Care Medicine
2009;24(2):102-105
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hysteroscopy is utilized for making the diagnosis and treating a series of uterine disease. It's advantages are more accurate removal of lesion, a short operating time, low morbidity and rapid postoperative recovery. However, serious complications can happen following hysteroscopic surgery. The complications can be divided into the procedure-related, media-related and postoperative events. The procedure-related complications include cervical laceration, uterine perforation, bowel and bladder injury, and hemorrhage. The media-related complications include hyponatremia, gas embolism and excessive fluid absorption. The postoperative events include endometritis and postoperative synechiae. We experienced hyponatermia with pulmonary edema due to excessive fuid absorption in a 52-year-old woman who underwent elective hysteroscopic myomectomy under general anesthesia. She was treated with oxygen therapy, normal saline and furosemide and she recovered without sequelae.
