[Pulmonary edema in transcervical endometrial ablation: a case report].
The use of the transcervical resectoscope for endometrial ablation and/or resection of myomas is a relatively new technique in gynecologic surgery. Although complications are uncommon with this procedure, they can occasionally appear and lead to potential hazard. Here a patient presenting for endometrial ablation is described; 1.5% glycine was used as the irrigation solution to enhance visibility and to wash away blood and tissue particles. Unfortunately, a large amount of glycine was absorbed by the open vessels in the myometrium during operation, leading to pulmonary edema and dilutional hyponatremia. After administration of diuretics, sodium supplement and 100% oxygen, complications improved progressively. The patient was discharged on postoperative day 5 without any sequelae.
Li
Y T
YT
Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital.
Jaw
C S
CS
Hsu
K P
KP
Lin
H M
HM
D000328:Adult; D002584:Cervix Uteri; D004717:Endometrium / Q000601:surgery*; D005260:Female; D006801:Humans; D007010:Hyponatremia / Q000209:etiology; D011183:Postoperative Complications / Q000209:etiology* / Q000517:prevention & control; D011654:Pulmonary Edema / Q000209:etiology* / Q000517:prevention & control