Acute water intoxication in hysteroscopic myomectomy: a rare case report.

Autor: Chen Y; Faculty of Forensic Medicine, Zhongshan School of Medicine, Sun Yat-sen University, No. 74 Zhognshan Erlu, Guangzhou, China.; Forensic Medicine Centre, Sun Yat-sen University, No. 74 Zhognshan Erlu, Guangzhou, China., Zhao S; Faculty of Forensic Medicine, Zhongshan School of Medicine, Sun Yat-sen University, No. 74 Zhognshan Erlu, Guangzhou, China.; Guangdong Province Translational Forensic Medicine Engineering Technology Research Center, Sun Yat-sen University, No. 74 Zhognshan Erlu, Guangzhou, China., Tang W; Faculty of Forensic Medicine, Zhongshan School of Medicine, Sun Yat-sen University, No. 74 Zhognshan Erlu, Guangzhou, China., Li Z; Faculty of Forensic Medicine, Zhongshan School of Medicine, Sun Yat-sen University, No. 74 Zhognshan Erlu, Guangzhou, China.; Forensic Medicine Centre, Sun Yat-sen University, No. 74 Zhognshan Erlu, Guangzhou, China., Xie J; Faculty of Forensic Medicine, Zhongshan School of Medicine, Sun Yat-sen University, No. 74 Zhognshan Erlu, Guangzhou, China.; Forensic Medicine Centre, Sun Yat-sen University, No. 74 Zhognshan Erlu, Guangzhou, China., Luo B; Faculty of Forensic Medicine, Zhongshan School of Medicine, Sun Yat-sen University, No. 74 Zhognshan Erlu, Guangzhou, China. luobin@mail.sysu.edu.cn.; Forensic Medicine Centre, Sun Yat-sen University, No. 74 Zhognshan Erlu, Guangzhou, China. luobin@mail.sysu.edu.cn.; Guangdong Province Translational Forensic Medicine Engineering Technology Research Center, Sun Yat-sen University, No. 74 Zhognshan Erlu, Guangzhou, China. luobin@mail.sysu.edu.cn.
Jazyk: angličtina
Zdroj: Forensic science, medicine, and pathology [Forensic Sci Med Pathol] 2024 Sep; Vol. 20 (3), pp. 1041-1044. Date of Electronic Publication: 2023 Sep 22.
DOI: 10.1007/s12024-023-00717-z
Abstrakt: Water intoxication is rarely seen in forensic practice and is typically associated with excessive water consumption, amphetamine intake, and child abuse. Iatrogenic water intoxication is rare but usually related to medical disputes. Here, we report a 44-year-old female was admitted to the hospital due to a 3-month history of excessive menstrual bleeding. B-ultrasound revealed multiple substantial intrauterine masses, leading to a diagnosis of multiple uterine fibroids. After admission, she underwent submucous myomectomy, endometrial resection, and transcervical resection of endometrial polyps. During the procedure, the patient suffered dizziness and chest tightness, her blood pressure decreased to 89/52 mmHg, and moist rales were heard in her both lungs; she died despite medical efforts. A forensic autopsy was performed and revealed severe pulmonary edema. Considering the patient's clinical history, acute water intoxication was considered to be the cause of death. This highlights the need for forensic pathologists to be vigilant of postoperative water intoxication, a rare complication in obstetrics, to ensure accurate assessments.
(© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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