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Acute Severe Hyponatremia following Hysteroscopic Procedure in a Young Patient: A Case Report and Review of the Literature
BACKGROUND: Hysteroscopic surgery is a minimally invasive procedure used to diagnose and treat intrauterine pathologies. It requires distension of the uterine cavity for the adequate visualization of the operative field. Glycine (1.5%) is one of the most commonly used solutions because it is noncond...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Hindawi
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8478601/ https://www.ncbi.nlm.nih.gov/pubmed/34594582 http://dx.doi.org/10.1155/2021/7195660 |
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author | Atieh, Anwar S. Abu Shamma, Omar K. Abdelhafez, Mohammad O. Baniowda, Muath A. Abed, Samia Babaa, Basheer H. Hamadah, Abdurrahman Gharaibeh, Kamel A. |
author_facet | Atieh, Anwar S. Abu Shamma, Omar K. Abdelhafez, Mohammad O. Baniowda, Muath A. Abed, Samia Babaa, Basheer H. Hamadah, Abdurrahman Gharaibeh, Kamel A. |
author_sort | Atieh, Anwar S. |
collection | PubMed |
description | BACKGROUND: Hysteroscopic surgery is a minimally invasive procedure used to diagnose and treat intrauterine pathologies. It requires distension of the uterine cavity for the adequate visualization of the operative field. Glycine (1.5%) is one of the most commonly used solutions because it is nonconductive and also has good optical properties. However, acute hyponatremia is a critical complication that can develop after the absorption of a sufficient amount of the irrigation medium. Case Presentation. We report a case of a 43-year-old female patient who developed acute symptomatic hyponatremia (104 mEq/L) and pulmonary edema secondary to hysteroscopic resection of leiomyoma and hastily approached with rapid sodium correction measures. CONCLUSION: Multiple strategies can be taken to reduce the risk of fluid absorption and subsequent hyponatremia. Moreover, attention should be paid to the treatment approach for patients with acute hyponatremia following hysteroscopic procedures; rapid correction of acute hyponatremia for such patients might be safe, although there is no consensus in the literature, and further trials are needed. |
format | Online Article Text |
id | pubmed-8478601 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-84786012021-09-29 Acute Severe Hyponatremia following Hysteroscopic Procedure in a Young Patient: A Case Report and Review of the Literature Atieh, Anwar S. Abu Shamma, Omar K. Abdelhafez, Mohammad O. Baniowda, Muath A. Abed, Samia Babaa, Basheer H. Hamadah, Abdurrahman Gharaibeh, Kamel A. Case Rep Nephrol Case Report BACKGROUND: Hysteroscopic surgery is a minimally invasive procedure used to diagnose and treat intrauterine pathologies. It requires distension of the uterine cavity for the adequate visualization of the operative field. Glycine (1.5%) is one of the most commonly used solutions because it is nonconductive and also has good optical properties. However, acute hyponatremia is a critical complication that can develop after the absorption of a sufficient amount of the irrigation medium. Case Presentation. We report a case of a 43-year-old female patient who developed acute symptomatic hyponatremia (104 mEq/L) and pulmonary edema secondary to hysteroscopic resection of leiomyoma and hastily approached with rapid sodium correction measures. CONCLUSION: Multiple strategies can be taken to reduce the risk of fluid absorption and subsequent hyponatremia. Moreover, attention should be paid to the treatment approach for patients with acute hyponatremia following hysteroscopic procedures; rapid correction of acute hyponatremia for such patients might be safe, although there is no consensus in the literature, and further trials are needed. Hindawi 2021-09-20 /pmc/articles/PMC8478601/ /pubmed/34594582 http://dx.doi.org/10.1155/2021/7195660 Text en Copyright © 2021 Anwar S. Atieh et al. https://creativecommons.org/licenses/by/4.0/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 Atieh, Anwar S. Abu Shamma, Omar K. Abdelhafez, Mohammad O. Baniowda, Muath A. Abed, Samia Babaa, Basheer H. Hamadah, Abdurrahman Gharaibeh, Kamel A. Acute Severe Hyponatremia following Hysteroscopic Procedure in a Young Patient: A Case Report and Review of the Literature |
title | Acute Severe Hyponatremia following Hysteroscopic Procedure in a Young Patient: A Case Report and Review of the Literature |
title_full | Acute Severe Hyponatremia following Hysteroscopic Procedure in a Young Patient: A Case Report and Review of the Literature |
title_fullStr | Acute Severe Hyponatremia following Hysteroscopic Procedure in a Young Patient: A Case Report and Review of the Literature |
title_full_unstemmed | Acute Severe Hyponatremia following Hysteroscopic Procedure in a Young Patient: A Case Report and Review of the Literature |
title_short | Acute Severe Hyponatremia following Hysteroscopic Procedure in a Young Patient: A Case Report and Review of the Literature |
title_sort | acute severe hyponatremia following hysteroscopic procedure in a young patient: a case report and review of the literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8478601/ https://www.ncbi.nlm.nih.gov/pubmed/34594582 http://dx.doi.org/10.1155/2021/7195660 |
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