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ACC : Acute and Critical Care



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HOME > Acute Crit Care > Volume 24(2); 2009 > Article
Case Report Dilutional Hyponatremia during Hysteroscopic Myomectomy: A Case Report
Si Young Ok, Seung Hwa Ryoo, Young Hee Baek, Sang Ho Kim

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Department of Anesthesiology and Pain Medicine, Soonchunhyang University Hospital, Seoul, Korea.

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.

ACC : Acute and Critical Care