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BMC Anesthesiology
Published in: BMC Anesthesiology 1/2015

Open Access 01-12-2015 | Case report

Rapid correction of severe hyponatremia after hysteroscopic surgery – a case report

Authors: Philip Hepp, Tobias Jüttner, Ines Beyer, Tanja Fehm, Wolfgang Janni, Enrico Monaca

Published in: BMC Anesthesiology | Issue 1/2015

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Abstract

Background

One of the most feared complications during hysteroscopic surgery is haemodilution by absorption of distension media. One facet of haemodilution, i.e. hyponatremia, can lead to respiratory distress, pulmonary oedema, as well as cardiovascular collapse.

Case presentation

Here we report the swift recovery of a 45 year, female, Caucasian patient with acute hyponatremia (74 mEq/L) and pulmonary oedema by the employment of rapid correctional strategies.

Conclusion

The absorption of irrigation fluids, as presented in this case, is an inevitable side effect of hysteroscopic surgery. Utmost caution should, therefore, be mandatory to reduce and actively monitor fluid intake. If these measures fail, as in the case presented here, it is essential to rapidly eliminate any free water and to normalize the sodium levels. Anecdotal reports of pontine myelinolysis are not in line with literature concerning acute hyponatremia and should, therefore, not obstruct determined action against it.
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Metadata
Title
Rapid correction of severe hyponatremia after hysteroscopic surgery – a case report
Authors
Philip Hepp
Tobias Jüttner
Ines Beyer
Tanja Fehm
Wolfgang Janni
Enrico Monaca
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Anesthesiology / Issue 1/2015
Electronic ISSN: 1471-2253
DOI
https://doi.org/10.1186/s12871-015-0070-4

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