[A case of water intoxication during transcervical resection of the uterine myoma].
A 28-year-old woman underwent trans-cervical resection (TCR) of the uterine myoma. She had no history of complications except for anemia. Anesthesia was maintained with inhalation anesthesia. After 120 min from introducing the resectoscope, her serum sodium dropped to 86.1 mEq.l-1. But her heart rate and the systolic arterial pressure were stable. She was treated with steroid, mannitol, isotonic saline, and 7% NaHCO3. Soon after the end of the operation, she recovered consciousness. At two hours postoperatively, her serum sodium was 119.6 mEq.l-1. On the 1st postoperative day, her serum sodium returned to the normal range (137 mEq.l-1). We should be aware of asymptomatic water intoxication during TCR.
Takagi
H
H
Department of Anesthesia, Maebashi Red Cross Hospital.
Isa
Y
Y
Koizuka
S
S
Hangai
K
K
Hasegawa
Y
Y
Kawamura
F
F
Sudou
I
I
D000328:Adult; D000768:Anesthesia, General / Q000009:adverse effects; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal; D007431:Intraoperative Complications / Q000209:etiology* / Q000628:therapy; D007552:Isotonic Solutions; D007889:Leiomyoma / Q000601:surgery*; D008353:Mannitol / Q000008:administration & dosage; D008775:Methylprednisolone / Q000008:administration & dosage; D010477:Perfusion / Q000009:adverse effects; D012965:Sodium Chloride / Q000008:administration & dosage; D013012:Sorbitol / Q000009:adverse effects; D014594:Uterine Neoplasms / Q000601:surgery*; D014869:Water Intoxication / Q000209:etiology* / Q000628:therapy
D007552:Isotonic Solutions; D008353:Mannitol; D012965:Sodium Chloride; D013012:Sorbitol; D008775:Methylprednisolone