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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...
Autores principales: | , , |
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Formato: | Texto |
Lenguaje: | English |
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The Korean Academy of Medical Sciences
2009
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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. |
format | Text |
id | pubmed-2698207 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | The Korean Academy of Medical Sciences |
record_format | MEDLINE/PubMed |
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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