Severe hypernatremia after hypertonic saline irrigation of hydatid cysts.
Patients with iatrogenic hypernatremia and serum sodium levels >170 mmol/L either die or sustain severe central nervous system damage. We report the first case of an adult patient who survived an extreme iatrogenic acute hypernatremia (200 mmol/L) resulting from a hypertonic saline irrigation of multiple intraabdominal hydatid cysts. It is a unique report of an intraoperatively developed serum sodium increase without subsequent neurological damage.
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Aline
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Department of Anesthesiology and Intensive Care Unit, Groupe Hospitalier Cochin, Université René Descartes, Paris, France.
Baudin
François
F
Matmar
Moussa
M
Archambeau
Denis
D
Ozier
Yves
Y
D000328:Adult; D004443:Echinococcosis / Q000628:therapy*; D005260:Female; D006801:Humans; D006955:Hypernatremia / Q000209:etiology*; D007431:Intraoperative Complications / Q000209:etiology*; D012462:Saline Solution, Hypertonic / Q000009:adverse effects*; D007507:Therapeutic Irrigation
D012462:Saline Solution, Hypertonic