Life-threatening acute water intoxication in a woman undergoing hysteroscopic myomectomy: a case report and review of the literature

Autor: Chang-Han Lo, Chen-Yi Liao, Kuang-yu Wei, Min-Feng Tseng, Wei-Hung Chan, Chia-Chao Wu, Mu-Xian Yu
Rok vydání: 2018
Předmět:
Adult
medicine.medical_specialty
Resuscitation
Acute water intoxication
Continuous Renal Replacement Therapy
medicine.medical_treatment
030232 urology & nephrology
Reproductive medicine
High sodium
Pulmonary Edema
Case Report
Hypokinesia
Hysteroscopy
Hysteroscopic myomectomy
Delayed diagnosis
lcsh:Gynecology and obstetrics
03 medical and health sciences
0302 clinical medicine
Pregnancy
Hemofiltration
Uterine Myomectomy
Extracorporeal membrane oxygenation
Medicine
Humans
Water intoxication
Intraoperative Complications
Therapeutic Irrigation
lcsh:RG1-991
030219 obstetrics & reproductive medicine
medicine.diagnostic_test
business.industry
lcsh:Public aspects of medicine
Water Intoxication
Obstetrics and Gynecology
Water
lcsh:RA1-1270
General Medicine
medicine.disease
Heart Arrest
Reproductive Medicine
Echocardiography
Cardiopulmonary failure
Anesthesia
Uterine Neoplasms
Female
business
Tomography
X-Ray Computed
Zdroj: BMC Women's Health
BMC Women's Health, Vol 20, Iss 1, Pp 1-5 (2020)
ISSN: 1472-6874
Popis: Background Acute water intoxication after hysteroscopy is a rare, life-threatening condition, often accompanied with delayed diagnosis owing to masked symptoms because of general anesthesia. Case presentation Herein we presented a 39-year-old female who presented with cardiac arrest after hysteroscopic myomectomy because of acute water intoxication and survived after extracorporeal membrane oxygenation, continuous venous–venous hemofiltration, and aggressive high sodium fluid resuscitation. Conclusion Failure to recognize and treat this condition appropriately may lead to potentially lethal cardiopulmonary complications.
Databáze: OpenAIRE