A rare case of hyperchloraemic normal anion gap metabolic acidosis due to absorption of normal saline irrigation fluid during holmium laser enucleation of prostate

Holmium laser enucleation of the prostate (HoLEP) is the preferred technique for surgical management of benign prostatic hyperplasia in prostates over 80 cc in size. A 72-year-old male underwent a HoLEP for catheter-dependent urinary retention in the context of a 204 cc prostate. At the end of the p...

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Autores principales: Tai, Justina Cheh Juan, Pervaiz, Muhammad, Deen, Shameer, Tasleem, Ali, Nkwam, Nkwam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Endourology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10338294/
https://www.ncbi.nlm.nih.gov/pubmed/37455779
http://dx.doi.org/10.1016/j.eucr.2023.102470
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author Tai, Justina Cheh Juan
Pervaiz, Muhammad
Deen, Shameer
Tasleem, Ali
Nkwam, Nkwam
author_facet Tai, Justina Cheh Juan
Pervaiz, Muhammad
Deen, Shameer
Tasleem, Ali
Nkwam, Nkwam
author_sort Tai, Justina Cheh Juan
collection PubMed
description Holmium laser enucleation of the prostate (HoLEP) is the preferred technique for surgical management of benign prostatic hyperplasia in prostates over 80 cc in size. A 72-year-old male underwent a HoLEP for catheter-dependent urinary retention in the context of a 204 cc prostate. At the end of the procedure he was clinically overloaded and had developed a combined respiratory and hyperchloremic normal anion gap metabolic acidosis secondary to excessive absorption of normal saline irrigation fluid. He was transferred to the ICU for diuresis and supportive care where he made a full recovery.
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spelling pubmed-103382942023-07-14 A rare case of hyperchloraemic normal anion gap metabolic acidosis due to absorption of normal saline irrigation fluid during holmium laser enucleation of prostate Tai, Justina Cheh Juan Pervaiz, Muhammad Deen, Shameer Tasleem, Ali Nkwam, Nkwam Urol Case Rep Endourology Holmium laser enucleation of the prostate (HoLEP) is the preferred technique for surgical management of benign prostatic hyperplasia in prostates over 80 cc in size. A 72-year-old male underwent a HoLEP for catheter-dependent urinary retention in the context of a 204 cc prostate. At the end of the procedure he was clinically overloaded and had developed a combined respiratory and hyperchloremic normal anion gap metabolic acidosis secondary to excessive absorption of normal saline irrigation fluid. He was transferred to the ICU for diuresis and supportive care where he made a full recovery. Elsevier 2023-06-21 /pmc/articles/PMC10338294/ /pubmed/37455779 http://dx.doi.org/10.1016/j.eucr.2023.102470 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Endourology
Tai, Justina Cheh Juan
Pervaiz, Muhammad
Deen, Shameer
Tasleem, Ali
Nkwam, Nkwam
A rare case of hyperchloraemic normal anion gap metabolic acidosis due to absorption of normal saline irrigation fluid during holmium laser enucleation of prostate
title A rare case of hyperchloraemic normal anion gap metabolic acidosis due to absorption of normal saline irrigation fluid during holmium laser enucleation of prostate
title_full A rare case of hyperchloraemic normal anion gap metabolic acidosis due to absorption of normal saline irrigation fluid during holmium laser enucleation of prostate
title_fullStr A rare case of hyperchloraemic normal anion gap metabolic acidosis due to absorption of normal saline irrigation fluid during holmium laser enucleation of prostate
title_full_unstemmed A rare case of hyperchloraemic normal anion gap metabolic acidosis due to absorption of normal saline irrigation fluid during holmium laser enucleation of prostate
title_short A rare case of hyperchloraemic normal anion gap metabolic acidosis due to absorption of normal saline irrigation fluid during holmium laser enucleation of prostate
title_sort rare case of hyperchloraemic normal anion gap metabolic acidosis due to absorption of normal saline irrigation fluid during holmium laser enucleation of prostate
topic Endourology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10338294/
https://www.ncbi.nlm.nih.gov/pubmed/37455779
http://dx.doi.org/10.1016/j.eucr.2023.102470
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