Korean J Anesthesiol.  2009 Nov;57(5):629-632. 10.4097/kjae.2009.57.5.629.

Developed hyponatremia during hysteroscopic myomectomy: A case report

• Kim HH
• Hwang JY
• Jeon YT
• Hwang JW
• Do SH
• Na HS

• KMID: 2092251
• DOI: http://doi.org/10.4097/kjae.2009.57.5.629

Abstract

Hysteroscopy is frequently used to assist the diagnosis and treatment of a series uterine diseases. However, complications associated with the procedure including fluid overload, hyponatremia, hypo-osmolality, hemorrhage, uterine perforation, and air embolism have been reported. The incidence of fluid overload with hyponatremia during hysteroscopic procedures has been reported to be up to 6% and it can probe fatal. Thus, early recognition of this condition and prompt intervention thereof is important to prevent adverse sequelae. Here, we report a case of hyponatremia with incidental fluid overload during hysteroscopy. We detected the signs of complication early on and were thus able to manage it promptly without any resulting adverse sequelae.

Keyword

Fluid overload; Hyponatremia; Hypoosmolality; Hysteroscopy

MeSH Terms

Embolism, Air
Hyponatremia
Hysteroscopy
Incidence
Uterine Diseases
Uterine Hemorrhage