Central pontine myelinolysis: sequele of hyponatremia during transcervical resection of endometrium.
Transcervical resection of endometrium is an alternative to hysterectomy for women with menorrhagia. The procedure involves the use of cutting loop diathermy to resect the endometrium while the uterine cavity is irrigated with 1.5% glycine which can absorb consequent fluid and electrolyte shifts. Severe hyponatremia leading to central pontine myelinolysis is an extremely rare complication of this procedure. We report a case of a young female undergoing transcervical resection of endometrium for menorrhagia, who developed central pontine myelinolysis but made a complete recovery after three months.
Shah
V R
VR
Department of Anesthesia and Critical Care, Institute of Kidney Diseases and Research Center, Civil Hospital campus, Ahmedabad, Gujarat, India. ikdrcad1@sancharnet.in
Parikh
G P
GP
Bhosale
G
G
D000328:Adult; D004564:Electrocoagulation / Q000009:adverse effects*; D004717:Endometrium / Q000601:surgery*; D005260:Female; D006801:Humans; D007010:Hyponatremia / Q000150:complications*; D008595:Menorrhagia / Q000601:surgery; D017590:Myelinolysis, Central Pontine / Q000209:etiology*