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Severe Hypocalcemia Caused by Absorption of Sorbitol-Mannitol Solution during Hysteroscopy

Hysteroscopic procedure can be complicated by intravascular absorption of irrigating fluid. The clinical features of this complication are similar to transurethral resection of the prostate (TURP) syndrome. There have been few reports on hypocalcemia during endoscopoic surgery and clinical implicati...

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Detalles Bibliográficos
Autores principales: Lee, Guie Yong, Han, Jong In, Heo, Hyun Joo
Formato: Texto
Lenguaje:English
Publicado: The Korean Academy of Medical Sciences 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2698207/
https://www.ncbi.nlm.nih.gov/pubmed/19543422
http://dx.doi.org/10.3346/jkms.2009.24.3.532
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author Lee, Guie Yong
Han, Jong In
Heo, Hyun Joo
author_facet Lee, Guie Yong
Han, Jong In
Heo, Hyun Joo
author_sort Lee, Guie Yong
collection PubMed
description Hysteroscopic procedure can be complicated by intravascular absorption of irrigating fluid. The clinical features of this complication are similar to transurethral resection of the prostate (TURP) syndrome. There have been few reports on hypocalcemia during endoscopoic surgery and clinical implications of hypocalcemia in TURP syndrome have been underestimated. We report a case of TURP syndrome association with a decreased ionized calcium concentration of 0.53 mM/L after the absorption of a large amount of sorbitol-mannitol solution during hysteroscopy. The hypotension which occurred in TURP syndrome did not respond to vasopressor and inotropic agent but responded to the administration of calcium. This case was also accompanied by hyponatremia, hyperglycemia and lactic acidosis through the metabolism of sorbitol.
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spelling pubmed-26982072009-06-19 Severe Hypocalcemia Caused by Absorption of Sorbitol-Mannitol Solution during Hysteroscopy Lee, Guie Yong Han, Jong In Heo, Hyun Joo J Korean Med Sci Case Report Hysteroscopic procedure can be complicated by intravascular absorption of irrigating fluid. The clinical features of this complication are similar to transurethral resection of the prostate (TURP) syndrome. There have been few reports on hypocalcemia during endoscopoic surgery and clinical implications of hypocalcemia in TURP syndrome have been underestimated. We report a case of TURP syndrome association with a decreased ionized calcium concentration of 0.53 mM/L after the absorption of a large amount of sorbitol-mannitol solution during hysteroscopy. The hypotension which occurred in TURP syndrome did not respond to vasopressor and inotropic agent but responded to the administration of calcium. This case was also accompanied by hyponatremia, hyperglycemia and lactic acidosis through the metabolism of sorbitol. The Korean Academy of Medical Sciences 2009-06 2009-06-18 /pmc/articles/PMC2698207/ /pubmed/19543422 http://dx.doi.org/10.3346/jkms.2009.24.3.532 Text en Copyright © 2009 The Korean Academy of Medical Sciences http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Lee, Guie Yong
Han, Jong In
Heo, Hyun Joo
Severe Hypocalcemia Caused by Absorption of Sorbitol-Mannitol Solution during Hysteroscopy
title Severe Hypocalcemia Caused by Absorption of Sorbitol-Mannitol Solution during Hysteroscopy
title_full Severe Hypocalcemia Caused by Absorption of Sorbitol-Mannitol Solution during Hysteroscopy
title_fullStr Severe Hypocalcemia Caused by Absorption of Sorbitol-Mannitol Solution during Hysteroscopy
title_full_unstemmed Severe Hypocalcemia Caused by Absorption of Sorbitol-Mannitol Solution during Hysteroscopy
title_short Severe Hypocalcemia Caused by Absorption of Sorbitol-Mannitol Solution during Hysteroscopy
title_sort severe hypocalcemia caused by absorption of sorbitol-mannitol solution during hysteroscopy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2698207/
https://www.ncbi.nlm.nih.gov/pubmed/19543422
http://dx.doi.org/10.3346/jkms.2009.24.3.532
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