Absorption of irrigating fluid during transcervical resection of endometrium--a report of two cases.
It has been recognized for many years that the use of hypotonic solution for the irrigation of the bladder cavity during transurethral resection of the prostate (TURP) may result in hyponatremia and water intoxication due to rapid and excessive absorption of the solution from the exposed prostatic bed, the clinical manifestation of which is termed "TURP syndrome". A similar condition termed "female TURP syndrome" following hysteroscopic transcervical endometrial resection (TCR) has been reported. Since the frequency of TCR continues to increase the increased rate of "TCR syndrome" would come in its wake. Here, we present two cases who developed severe hyperglycemia and hyponatremia while underwent TCR with 10% dextrose in water as the irrigation fluid and the same time emphasize the potential risk of this complication.
Hwang
C B
CB
Department of Anesthesiology, Chang Gung Memorial Hospital, Taiwan, R.O.C.
Hui
Y L
YL
Liu
W C
WC
Chu
K K
KK
Wang
Y L
YL
Ho
A C
AC
D000328:Adult; D004717:Endometrium / Q000601:surgery*; D005260:Female; D006801:Humans; D006943:Hyperglycemia / Q000209:etiology*; D007010:Hyponatremia / Q000209:etiology*; D011183:Postoperative Complications / Q000209:etiology*; D007507:Therapeutic Irrigation / Q000009:adverse effects