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Case Report
- Dilutional Hyponatremia during Hysteroscopic Myomectomy: A Case Report
- Si Young Ok, Seung Hwa Ryoo, Young Hee Baek, Sang Ho Kim
- Korean J Crit Care Med. 2009;24(2):102-105.
- DOI: https://doi.org/10.4266/kjccm.2009.24.2.102
- 2,387 View
- 18 Download
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Abstract
PDF - 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.
Review
- Evaluating and Managing Hyponatremia
- Minwook Yoo, Ozan Akca, Evelyn Bediako
- Korean J Crit Care Med. 2008;23(2):67-74.
- DOI: https://doi.org/10.4266/kjccm.2008.23.2.67
- 2,742 View
- 46 Download
- 2 Crossref
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Abstract
PDF
- Although hyponatremia is a common electrolyte disorder, its evaluation and management are not well defined. When diagnosed, hyponatremia should be categorized based on four criteria: volume status, urinary Na+, serum K+, and acid-base balance. This approach helps to determine what the cause of hyponatremia is and how it should be treated. Initially, hypovolemic hyponatremia, including cerebral salt wasting syndrome (CSWS), is treated by volume resuscitation and salt supplementation. Euvolemic hyponatremia, including the syndrome of inappropriate secretion of antidiuretic hormone (SIADH), is treated by fluid restriction and salt supplementation, and hypervolemic hyponatremia is treated by fluid restriction and salt restriction. Hyponatremia can be managed well using these primary treatments and medications.
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Citations
Citations to this article as recorded by
- Cerebral salt wasting syndrome in craniopharyngioma
Sankari Santra, Jayanta Chakraborty, Bibhukalyani Das
Indian Journal of Anaesthesia.2013; 57(4): 404. CrossRef - Dilutional Hyponatremia during Hysteroscopic Myomectomy - A Case Report -
Si Young Ok, Seung Hwa Ryoo, Young Hee Baek, Sang Ho Kim
The Korean Journal of Critical Care Medicine.2009; 24(2): 102. CrossRef
- Cerebral salt wasting syndrome in craniopharyngioma
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