[Hyponatremia and lung edema in endometrium ablation with rollerball ablation].
OBJECTIVE
Absorption of hypotonic irrigating solution with consecutive severe hyponatremia is a potential risk of the endometrial rollerball ablation procedure.


METHODS
We report the case of a 45-year-old female, who underwent an endometrial rollerball ablation procedure.


RESULTS
After irrigating the uterine cavity for 45 min with 10 1 of 2.7% Sorbitol and 0.54% Mannitol she developed clinical signs of pulmonary edema with severe hyponatremia.


CONCLUSIONS
A TUR-like syndrome as a potential risk of the rollerball ablation procedure is discussed briefly. Strategies to minimize the risk and to early detect the TUR-like syndrome are suggested.
Klinzing
S
S
Klinik für Anästhesiologie und Intensivtherapie der Friedrich-Schiller-Universität Jena.
Schlensog
I
I
Brauer
M
M
Klein
U
U
D004107:Dilatation and Curettage / Q000295:instrumentation*; D004564:Electrocoagulation / Q000295:instrumentation*; D019723:Endoscopes; D005260:Female; D006801:Humans; D007010:Hyponatremia / Q000209:etiology*; D020702:Hysteroscopes; D008595:Menorrhagia / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D011654:Pulmonary Edema / Q000209:etiology*; D007507:Therapeutic Irrigation