Life-Threatening Laryngeal Edema and Hyponatremia during Hysteroscopy | Zendy

Barbara Wegmüller | Zendy; Kerstin Hug | Zendy; Charlotte Meier Buenzli | Zendy; Bernd Yuen | Zendy; Marco Maggiorini | Zendy; Alain Rudiger | Zendy

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Life-Threatening Laryngeal Edema and Hyponatremia during Hysteroscopy

Author(s) -

Barbara Wegmüller,

Kerstin Hug,

Charlotte Meier Buenzli,

Bernd Yuen,

Marco Maggiorini,

Alain Rudiger

Publication year - 2011

Publication title -

critical care research and practice

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.532

H-Index - 27

eISSN - 2090-1313

pISSN - 2090-1305

DOI - 10.1155/2011/140381

Subject(s) - medicine , hyponatremia , resuscitation , coagulopathy , hysteroscopy , respiratory distress , edema , laryngeal edema , anesthesia , surgery , intensive care medicine

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.

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