title: Severe intraoperative hyponatremia associated with the absorption of irrigation fluid during hysteroscopic myomectomy: a case report.
abstract: A case of severe hyponatremia with accompanying pulmonary edema and cardiovascular instability during a hysteroscopic myomectomy with general anesthesia is presented. The patient's sodium value decreased to 87 mmol/L. She was managed with aggressive maneuvers, including an infusion of 3% hypertonic saline. The patient's serum sodium increased to 113 mmol/L at the end of the operation, and it was increased up to 138 mmol/L at 48 hours. The patient recovered completely without neurologic sequelae.
authors.affiliation: Department of Anesthesiology and Pain Medicine, College of Medicine, Chung-Ang University, Seoul, 156-755, Republic of Korea.
authors.forename: Young Cheol
authors.initials: YC
authors.lastname: Woo
authors.forename: Hyun
authors.initials: H
authors.lastname: Kang
authors.forename: Su Man
authors.initials: SM
authors.lastname: Cha
authors.forename: Yong Hun
authors.initials: YH
authors.lastname: Jung
authors.forename: Jin Yun
authors.initials: JY
authors.lastname: Kim
authors.forename: Gill Hoi
authors.initials: GH
authors.lastname: Koo
authors.forename: Sun Gyoo
authors.initials: SG
authors.lastname: Park
authors.forename: Chong Wha
authors.initials: CW
authors.lastname: Baek
mesh_terms: D000328:Adult; D000768:Anesthesia, General / Q000379:methods; D002318:Cardiovascular Diseases / Q000209:etiology; D005260:Female; D006801:Humans; D007010:Hyponatremia / Q000209:etiology* / Q000503:physiopathology; D015907:Hysteroscopy / Q000379:methods*; D007431:Intraoperative Complications; D007889:Leiomyoma / Q000601:surgery*; D011654:Pulmonary Edema / Q000209:etiology; D012462:Saline Solution, Hypertonic / Q000627:therapeutic use; D012720:Severity of Illness Index; D012964:Sodium / Q000097:blood; D007507:Therapeutic Irrigation / Q000009:adverse effects* / Q000379:methods; D014594:Uterine Neoplasms / Q000601:surgery
chemical_list: D012462:Saline Solution, Hypertonic; D012964:Sodium