Life-Threatening Laryngeal Edema and Hyponatremia during Hysteroscopy

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 respira...

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Autores principales: Wegmüller, Barbara, Hug, Kerstin, Meier Buenzli, Charlotte, Yuen, Bernd, Maggiorini, Marco, Rudiger, Alain
Formato: Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2011
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3085301/
https://www.ncbi.nlm.nih.gov/pubmed/21541246
http://dx.doi.org/10.1155/2011/140381
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author Wegmüller, Barbara
Hug, Kerstin
Meier Buenzli, Charlotte
Yuen, Bernd
Maggiorini, Marco
Rudiger, Alain
author_facet Wegmüller, Barbara
Hug, Kerstin
Meier Buenzli, Charlotte
Yuen, Bernd
Maggiorini, Marco
Rudiger, Alain
author_sort Wegmüller, Barbara
collection PubMed
description 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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spelling pubmed-30853012011-05-03 Life-Threatening Laryngeal Edema and Hyponatremia during Hysteroscopy Wegmüller, Barbara Hug, Kerstin Meier Buenzli, Charlotte Yuen, Bernd Maggiorini, Marco Rudiger, Alain Crit Care Res Pract Case Report 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. Hindawi Publishing Corporation 2011 2011-03-29 /pmc/articles/PMC3085301/ /pubmed/21541246 http://dx.doi.org/10.1155/2011/140381 Text en Copyright © 2011 Barbara Wegmüller et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Wegmüller, Barbara
Hug, Kerstin
Meier Buenzli, Charlotte
Yuen, Bernd
Maggiorini, Marco
Rudiger, Alain
Life-Threatening Laryngeal Edema and Hyponatremia during Hysteroscopy
title Life-Threatening Laryngeal Edema and Hyponatremia during Hysteroscopy
title_full Life-Threatening Laryngeal Edema and Hyponatremia during Hysteroscopy
title_fullStr Life-Threatening Laryngeal Edema and Hyponatremia during Hysteroscopy
title_full_unstemmed Life-Threatening Laryngeal Edema and Hyponatremia during Hysteroscopy
title_short Life-Threatening Laryngeal Edema and Hyponatremia during Hysteroscopy
title_sort life-threatening laryngeal edema and hyponatremia during hysteroscopy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3085301/
https://www.ncbi.nlm.nih.gov/pubmed/21541246
http://dx.doi.org/10.1155/2011/140381
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AT meierbuenzlicharlotte lifethreateninglaryngealedemaandhyponatremiaduringhysteroscopy
AT yuenbernd lifethreateninglaryngealedemaandhyponatremiaduringhysteroscopy
AT maggiorinimarco lifethreateninglaryngealedemaandhyponatremiaduringhysteroscopy
AT rudigeralain lifethreateninglaryngealedemaandhyponatremiaduringhysteroscopy

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