SIADH after carotid endarterectomy.
The syndrome of inappropriate secretion of antidiuretic hormone after carotid endarterectomy is very rare; only two cases have been reported in medical literature. We describe the case of an 82-year-old woman presenting with lethargy and drowsiness due to severe hyponatremia with urine hyperosmolarity and plasma hypo-osmolarity after carotid endarterectomy.
Department of Vascular Surgery, ASL RMF S Paolo Hospital, Civitavecchia, Rome, Italy.
Andrea
A
Siani
Roberto
R
Gabrielli
Federico
F
Accrocca
Giustino
G
Marcucci
D000369:Aged, 80 and over; D016893:Carotid Stenosis / Q000601:surgery*; D016894:Endarterectomy, Carotid / Q000009:adverse effects*; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D007010:Hyponatremia / Q000209:etiology; D007177:Inappropriate ADH Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D053609:Lethargy / Q000209:etiology; D009994:Osmolar Concentration; D012462:Saline Solution, Hypertonic / Q000008:administration & dosage; D012720:Severity of Illness Index; D012894:Sleep Stages; D016896:Treatment Outcome; D014882:Water-Electrolyte Balance
D012462:Saline Solution, Hypertonic