Korean J Anesthesiol.  2009 Oct;57(4):535-539. 10.4097/kjae.2009.57.4.535.

Dilutional hyponatremia developed during hysteroscopic myomectomy: A case report

• Park JT
• Choi JC
• Lee JY
• Um DJ

• KMID: 1765464
• DOI: http://doi.org/10.4097/kjae.2009.57.4.535

Abstract

Hysteroscopy is a procedure that may appear minimally invasive, but may result in potentially disastrous complications. A hysteroscopy requires the insertion of a hysteroscope into the uterine cavity and the installation of a suitable distention medium for the visualization of the endometrium. Fluid overload due to the absorption of distention media during hysteroscopy can cause mild to severe complications, including hyponatremia, hypoosmolarity, nausea, vomiting, headache, arrhythmia, blindness, confusion, seizure, cerebral edema, brain herniation, and death. We report a case of a 41 year-old female patient who underwent elective hysteroscopic myomectomy under general anesthesia. Approximately 4 hours after the beginning of the surgery, the patient's serum sodium concentration dropped to 109 mM. She was treated with furosemide and recovered without sequelae.

Keyword

Dilutional hyponatremia; Hysteroscopy

MeSH Terms

Absorption
Anesthesia, General
Arrhythmias, Cardiac
Blindness
Brain
Brain Edema
Endometrium
Female
Furosemide
Headache
Humans
Hyponatremia
Hysteroscopes
Hysteroscopy
Nausea
Seizures
Sodium
Vomiting
Furosemide
Sodium