Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Atieh, Anwar S., Abu Shamma, Omar K., Abdelhafez, Mohammad O., Baniowda, Muath A., Abed, Samia, Babaa, Basheer H., Hamadah, Abdurrahman, Gharaibeh, Kamel A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
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
_version_ 1784576097045708800
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
work_keys_str_mv AT atiehanwars acuteseverehyponatremiafollowinghysteroscopicprocedureinayoungpatientacasereportandreviewoftheliterature
AT abushammaomark acuteseverehyponatremiafollowinghysteroscopicprocedureinayoungpatientacasereportandreviewoftheliterature
AT abdelhafezmohammado acuteseverehyponatremiafollowinghysteroscopicprocedureinayoungpatientacasereportandreviewoftheliterature
AT baniowdamuatha acuteseverehyponatremiafollowinghysteroscopicprocedureinayoungpatientacasereportandreviewoftheliterature
AT abedsamia acuteseverehyponatremiafollowinghysteroscopicprocedureinayoungpatientacasereportandreviewoftheliterature
AT babaabasheerh acuteseverehyponatremiafollowinghysteroscopicprocedureinayoungpatientacasereportandreviewoftheliterature
AT hamadahabdurrahman acuteseverehyponatremiafollowinghysteroscopicprocedureinayoungpatientacasereportandreviewoftheliterature
AT gharaibehkamela acuteseverehyponatremiafollowinghysteroscopicprocedureinayoungpatientacasereportandreviewoftheliterature