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Dilutional Hyponatremia during Hysteroscopic Myomectomy: A Case Report
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Si Young Ok, Seung Hwa Ryoo, Young Hee Baek, Sang Ho Kim
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Korean J Crit Care Med. 2009;24(2):102-105.
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DOI: https://doi.org/10.4266/kjccm.2009.24.2.102
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 Abstract
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- 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.
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