Life-Threatening Laryngeal Edema and Hyponatremia during Hysteroscopy
We report on a 43-year-old patient undergoing a hysteroscopic myomectomy. After 80 minutes of operation, the patient developed laryngeal edema, requiring emergency tracheostomy. Hyponatremia (serum sodium 78 mmoL/L) indicated an irrigation fluid absorption. The patient developed shock, acute respira...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2011-01-01
|
| Series: | Critical Care Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2011/140381 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832553385607299072 |
|---|---|
| author | Barbara Wegmüller Kerstin Hug Charlotte Meier Buenzli Bernd Yuen Marco Maggiorini Alain Rudiger |
| author_facet | Barbara Wegmüller Kerstin Hug Charlotte Meier Buenzli Bernd Yuen Marco Maggiorini Alain Rudiger |
| author_sort | Barbara Wegmüller |
| collection | DOAJ |
| description | We report on a 43-year-old patient undergoing a hysteroscopic myomectomy. After 80 minutes of operation, the patient developed laryngeal edema, requiring emergency tracheostomy. Hyponatremia (serum sodium 78 mmoL/L) indicated an irrigation fluid absorption. The patient developed shock, acute respiratory distress syndrome, acute renal failure, and diffuse intravascular coagulopathy. Resuscitation including continuous venovenous hemodiafiltration was required. Finally, the patient made a full clinical recovery.
Hysteroscopy usually has low risks. However, absorption of the irrigation fluid can result in life-threatening fluid overload and electrolyte disturbances. Accurate fluid balancing and limiting the operation time may prevent these complications. |
| format | Article |
| id | doaj-art-2fd4fdc2a78e4236a888a9c63dc13280 |
| institution | Kabale University |
| issn | 2090-1305 2090-1313 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Critical Care Research and Practice |
| spelling | doaj-art-2fd4fdc2a78e4236a888a9c63dc132802025-02-03T05:54:07ZengWileyCritical Care Research and Practice2090-13052090-13132011-01-01201110.1155/2011/140381140381Life-Threatening Laryngeal Edema and Hyponatremia during HysteroscopyBarbara Wegmüller0Kerstin Hug1Charlotte Meier Buenzli2Bernd Yuen3Marco Maggiorini4Alain Rudiger5Medical Intensive Care Unit, University Hospital Zurich, Raemistraße 100, 8091 Zurich, SwitzerlandGynecology and Obstetrics, Canton Hospital Nidwalden, 6370 Stans, SwitzerlandAnesthesiology and Intensive Care, Canton Hospital Nidwalden, 6370 Stans, SwitzerlandMedical Intensive Care Unit, University Hospital Zurich, Raemistraße 100, 8091 Zurich, SwitzerlandMedical Intensive Care Unit, University Hospital Zurich, Raemistraße 100, 8091 Zurich, SwitzerlandMedical Intensive Care Unit, University Hospital Zurich, Raemistraße 100, 8091 Zurich, SwitzerlandWe report on a 43-year-old patient undergoing a hysteroscopic myomectomy. After 80 minutes of operation, the patient developed laryngeal edema, requiring emergency tracheostomy. Hyponatremia (serum sodium 78 mmoL/L) indicated an irrigation fluid absorption. The patient developed shock, acute respiratory distress syndrome, acute renal failure, and diffuse intravascular coagulopathy. Resuscitation including continuous venovenous hemodiafiltration was required. Finally, the patient made a full clinical recovery. Hysteroscopy usually has low risks. However, absorption of the irrigation fluid can result in life-threatening fluid overload and electrolyte disturbances. Accurate fluid balancing and limiting the operation time may prevent these complications.http://dx.doi.org/10.1155/2011/140381 |
| spellingShingle | Barbara Wegmüller Kerstin Hug Charlotte Meier Buenzli Bernd Yuen Marco Maggiorini Alain Rudiger Life-Threatening Laryngeal Edema and Hyponatremia during Hysteroscopy Critical Care Research and Practice |
| title | Life-Threatening Laryngeal Edema and Hyponatremia during Hysteroscopy |
| title_full | Life-Threatening Laryngeal Edema and Hyponatremia during Hysteroscopy |
| title_fullStr | Life-Threatening Laryngeal Edema and Hyponatremia during Hysteroscopy |
| title_full_unstemmed | Life-Threatening Laryngeal Edema and Hyponatremia during Hysteroscopy |
| title_short | Life-Threatening Laryngeal Edema and Hyponatremia during Hysteroscopy |
| title_sort | life threatening laryngeal edema and hyponatremia during hysteroscopy |
| url | http://dx.doi.org/10.1155/2011/140381 |
| work_keys_str_mv | AT barbarawegmuller lifethreateninglaryngealedemaandhyponatremiaduringhysteroscopy AT kerstinhug lifethreateninglaryngealedemaandhyponatremiaduringhysteroscopy AT charlottemeierbuenzli lifethreateninglaryngealedemaandhyponatremiaduringhysteroscopy AT berndyuen lifethreateninglaryngealedemaandhyponatremiaduringhysteroscopy AT marcomaggiorini lifethreateninglaryngealedemaandhyponatremiaduringhysteroscopy AT alainrudiger lifethreateninglaryngealedemaandhyponatremiaduringhysteroscopy |