Complications of 32% dextran-70 in 10% dextrose. A case report.
BACKGROUND
Thirty-two percent dextran-70 in 10% dextrose is a useful distention medium for hysteroscopic surgery. However, the side effects profile is considerable.


METHODS
A young woman underwent hysteroscopic evaluation for menorrhagia. Postoperatively, she suffered severe noncardiogenic pulmonary edema, disseminated intravascular coagulopathy and acute anuric renal failure.


CONCLUSIONS
Precautions must be taken when using 32% dextran-70 in 10% dextrose to avoid its potentially life-threatening complications.
Schinco
M A
MA
Department of Obstetrics and Gynecology and of Surgery, Medical College of Pennsylvania, Philadelphia 19129, USA.
Hughes
D
D
Santora
T A
TA
D000208:Acute Disease; D058186:Acute Kidney Injury / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D000328:Adult; D000925:Anticoagulants / Q000009:adverse effects*; D003911:Dextrans / Q000009:adverse effects*; D004211:Disseminated Intravascular Coagulation / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D004338:Drug Combinations; D004724:Endoscopy; D005260:Female; D005947:Glucose / Q000009:adverse effects*; D006801:Humans; D015907:Hysteroscopy / Q000379:methods; D008595:Menorrhagia / Q000150:complications / Q000601:surgery; D011183:Postoperative Complications; D011654:Pulmonary Edema / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy
D000925:Anticoagulants; D003911:Dextrans; D004338:Drug Combinations; D005947:Glucose