Korean J Crit Care Med.  2009 Aug;24(2):102-105. 10.4266/kjccm.2009.24.2.102.

Dilutional Hyponatremia during Hysteroscopic Myomectomy: A Case Report

• Ok SY
• Ryoo SH
• Baek YH
• Kim SH

• KMID: 2228355
• DOI: http://doi.org/10.4266/kjccm.2009.24.2.102

Abstract

Hysteroscopy is utilized for making the diagnosis and treating a series of uterine disease. It's advantages are more accurate removal of lesion, a short operating time, low morbidity and rapid postoperative recovery. However, serious complications can happen following hysteroscopic surgery. The complications can be divided into the procedure-related, media-related and postoperative events. The procedure-related complications include cervical laceration, uterine perforation, bowel and bladder injury, and hemorrhage. The media-related complications include hyponatremia, gas embolism and excessive fluid absorption. The postoperative events include endometritis and postoperative synechiae. We experienced hyponatermia with pulmonary edema due to excessive fuid absorption in a 52-year-old woman who underwent elective hysteroscopic myomectomy under general anesthesia. She was treated with oxygen therapy, normal saline and furosemide and she recovered without sequelae.

Keyword

complication; hyponatremia; hysteroscopy; pulmonary edema; Urosol

MeSH Terms

Absorption
Anesthesia, General
Embolism, Air
Endometritis
Female
Furosemide
Hemorrhage
Humans
Hyponatremia
Hysteroscopy
Lacerations
Middle Aged
Oxygen
Pulmonary Edema
Urinary Bladder
Uterine Diseases
Uterine Perforation
Furosemide
Oxygen