title: Severe hypernatremia after hypertonic saline irrigation of hydatid cysts.
abstract: 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.
authors.affiliation: Department of Anesthesiology and Intensive Care Unit, Groupe Hospitalier Cochin, Université René Descartes, Paris, France.
authors.forename: Aline
authors.initials: A
authors.lastname: Albi
authors.forename: François
authors.initials: F
authors.lastname: Baudin
authors.forename: Moussa
authors.initials: M
authors.lastname: Matmar
authors.forename: Denis
authors.initials: D
authors.lastname: Archambeau
authors.forename: Yves
authors.initials: Y
authors.lastname: Ozier
mesh_terms: 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
chemical_list: D012462:Saline Solution, Hypertonic