Iatrogenic water intoxication during pelvic ultrasonography in a patient with diabetes insipidus

Pelvic ultrasonography (US) is a simple and non-invasive radiologic test to evaluate the pelvic organs. It requires a full bladder for better visualization. Our case is a 14-year-old female with diabetes insipidus (DI) who admitted to the pediatric emergency service with the complaints of sei...

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Main Authors: Okşan Derinöz, Hamdi Cihan Emeksiz, Gökhan Kalkan, Orhun Camurdan
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2012-08-01
Series:The Turkish Journal of Pediatrics
Online Access:https://turkjpediatr.org/article/view/1662
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author Okşan Derinöz
Hamdi Cihan Emeksiz
Gökhan Kalkan
Orhun Camurdan
author_facet Okşan Derinöz
Hamdi Cihan Emeksiz
Gökhan Kalkan
Orhun Camurdan
author_sort Okşan Derinöz
collection DOAJ
description Pelvic ultrasonography (US) is a simple and non-invasive radiologic test to evaluate the pelvic organs. It requires a full bladder for better visualization. Our case is a 14-year-old female with diabetes insipidus (DI) who admitted to the pediatric emergency service with the complaints of seizure and agitation after drinking 4 liters of water in one hour for a pelvic US examination due to work-up for delayed puberty. Her biochemical and clinical evaluation revealed water intoxication (WI). To our knowledge, this is the first WI case developed in a patient with DI. Here, we discuss the underlying factors leading to this complication and recommended an approach to obtain a better sonographic image without necessitating oral water intake to fill the urinary bladder.
format Article
id doaj-art-ee2fa409eac3447f99cc57f2726c8742
institution DOAJ
issn 0041-4301
2791-6421
language English
publishDate 2012-08-01
publisher Hacettepe University Institute of Child Health
record_format Article
series The Turkish Journal of Pediatrics
spelling doaj-art-ee2fa409eac3447f99cc57f2726c87422025-08-20T02:55:39ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212012-08-01544Iatrogenic water intoxication during pelvic ultrasonography in a patient with diabetes insipidusOkşan Derinöz0Hamdi Cihan EmeksizGökhan KalkanOrhun CamurdanDepartments of Pediatric Emergency, Gazi University Faculty of Medicine, Ankara, Turkey. oderinoz@gazi.edu.tr Pelvic ultrasonography (US) is a simple and non-invasive radiologic test to evaluate the pelvic organs. It requires a full bladder for better visualization. Our case is a 14-year-old female with diabetes insipidus (DI) who admitted to the pediatric emergency service with the complaints of seizure and agitation after drinking 4 liters of water in one hour for a pelvic US examination due to work-up for delayed puberty. Her biochemical and clinical evaluation revealed water intoxication (WI). To our knowledge, this is the first WI case developed in a patient with DI. Here, we discuss the underlying factors leading to this complication and recommended an approach to obtain a better sonographic image without necessitating oral water intake to fill the urinary bladder. https://turkjpediatr.org/article/view/1662
spellingShingle Okşan Derinöz
Hamdi Cihan Emeksiz
Gökhan Kalkan
Orhun Camurdan
Iatrogenic water intoxication during pelvic ultrasonography in a patient with diabetes insipidus
The Turkish Journal of Pediatrics
title Iatrogenic water intoxication during pelvic ultrasonography in a patient with diabetes insipidus
title_full Iatrogenic water intoxication during pelvic ultrasonography in a patient with diabetes insipidus
title_fullStr Iatrogenic water intoxication during pelvic ultrasonography in a patient with diabetes insipidus
title_full_unstemmed Iatrogenic water intoxication during pelvic ultrasonography in a patient with diabetes insipidus
title_short Iatrogenic water intoxication during pelvic ultrasonography in a patient with diabetes insipidus
title_sort iatrogenic water intoxication during pelvic ultrasonography in a patient with diabetes insipidus
url https://turkjpediatr.org/article/view/1662
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AT hamdicihanemeksiz iatrogenicwaterintoxicationduringpelvicultrasonographyinapatientwithdiabetesinsipidus
AT gokhankalkan iatrogenicwaterintoxicationduringpelvicultrasonographyinapatientwithdiabetesinsipidus
AT orhuncamurdan iatrogenicwaterintoxicationduringpelvicultrasonographyinapatientwithdiabetesinsipidus