Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-53822
Wegmüller, B; Hug, K; Meier Buenzli, C; Yuen, B; Maggiorini, M; Rudiger, A (2011). Life-threatening laryngeal edema and hyponatremia during hysteroscopy. Critical Care Research and Practice, 2011:140381.
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We report on a 43-year-old patient undergoing a hysteroscopic myomectomy. After 80 minutes of operation, the patient developed laryngeal edema, requiring emergency tracheostomy. Hyponatremia (serum sodium 78 mmoL/L) indicated an irrigation fluid absorption. The patient developed shock, acute respiratory distress syndrome, acute renal failure, and diffuse intravascular coagulopathy. Resuscitation including continuous venovenous hemodiafiltration was required. Finally, the patient made a full clinical recovery. Hysteroscopy usually has low risks. However, absorption of the irrigation fluid can result in life-threatening fluid overload and electrolyte disturbances. Accurate fluid balancing and limiting the operation time may prevent these complications.
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|Item Type:||Journal Article, refereed, further contribution|
|Communities & Collections:||04 Faculty of Medicine > University Hospital Zurich > Institute of Anesthesiology|
|DDC:||610 Medicine & health|
|Uncontrolled Keywords:||case report|
|Deposited On:||09 Jan 2012 21:52|
|Last Modified:||27 Nov 2012 09:49|
|Publisher:||Hindawi Publishing Corporation|
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