Korean J Anesthesiol.  2006 Jan;50(1):94-98. 10.4097/kjae.2006.50.1.94.

Developed Extrapotine Myelinolysis after Hysteroscopic Myomectomy: A case report

• Kang HS
• Oh IY
• Kim YJ
• Cho CK
• Lee SK
• Yang SY
• Kwon YI
• Choi HY
• Yang YS

• KMID: 2237484
• DOI: http://doi.org/10.4097/kjae.2006.50.1.94

Abstract

Transcervical resection of endometrium is under-utilized in the treatment of dysfunctional uterine bleeding, uterine myoma and menorrhagia. The procedure is similar to transurethral resection of prostate in men with a possibility of substantial absorption of irrigation fluid. Absorption of a large volume of fluid can cause excessive intravascular volume, hyponatremia, cerebral edema and death. Severe hyponatremia leading to extrapontine myelinolysis is an extremely rare complication of this procedure. So, We report a case of developed extrapontine myelinolysis after hysteroscopic myomectomy which, however, showed complete recovery.

Keyword

extrapontine myelinolysis; hyponatremia; irrigation fluid

MeSH Terms

Absorption
Brain Edema
Endometrium
Female
Humans
Hyponatremia
Leiomyoma
Male
Menorrhagia
Metrorrhagia
Myelinolysis, Central Pontine
Transurethral Resection of Prostate