Over-transfusion ascites.
A 12-year-old girl was injured in a traffic accident and suffered fractures of all the long bones of both legs. During the operation she received 10 l of lactated Ringer's solution, 3 l of 0.9% NaCl, and 2 l of 5% glucose, until blood was available, because of difficulty in its cross-matching. Her hemoglobin dropped to 4.9 g%. After the operation a distension of the abdomen was noted. An abdominal tap confirmed ascites. A simultaneous intravenous pyelogram and retrograde cystogram revealed no leakage from the urinary tract. An over-transfusion ascites was diagnosed combined with pulmonary edema. The patient was treated for 2 days in the ICU, until she was transferred to the orthopedic department with no signs of ascites.
Eldor
J
J
Department of Anesthesiology, Shaare Zedek Medical Center, Jerusalem, Israel.
Olsha
O
O
Farkas
A
A
D001201:Ascites / Q000209:etiology*; D002648:Child; D005260:Female; D005440:Fluid Therapy / Q000009:adverse effects*; D006801:Humans; D007552:Isotonic Solutions / Q000008:administration & dosage; D009104:Multiple Trauma / Q000628:therapy; D012151:Resuscitation; D000077325:Ringer's Lactate
D007552:Isotonic Solutions; D000077325:Ringer's Lactate