title: Transurethral resection of prostate syndrome: report of a case.
abstract: We report a case of transurethral resection of prostate (TURP) syndrome. A 78-year-old man with prostatic hypertrophy was scheduled for transurethral resection of the prostate under spinal anesthesia. 30 minutes after the end of the surgery, the patient presented signs of TURP syndrome with bradycardia, arterial hypotension, cyanosis, hypoxemia and coma. The electrolytes analysis revealed an acute hyponatremia (sodium concentration 125 mmol/L). Medical treatment consisted of hypertonic saline solution 3%, volume expansion, intubation and ventilation. The presented case describes a typical TURP syndrome, which was diagnosed and treated early. The patient was discharged from hospital without any complications.
authors.affiliation: Department of Anesthesia and critical care Medicine, Hassan II University Hospital, Fez, Morocco.
authors.forename: Brahim
authors.initials: B
authors.lastname: Boukatta
authors.forename: Hicham
authors.initials: H
authors.lastname: Sbai
authors.forename: Ferdaous
authors.initials: F
authors.lastname: Messaoudi
authors.forename: Zakaria
authors.initials: Z
authors.lastname: Lafrayiji
authors.forename: Abderrahim
authors.initials: A
authors.lastname: El Bouazzaoui
authors.forename: Nabil
authors.initials: N
authors.lastname: Kanjaa
mesh_terms: D000042:Absorption; D000368:Aged; D000775:Anesthesia, Spinal; D001919:Bradycardia / Q000139:chemically induced* / Q000188:drug therapy; D003128:Coma / Q000209:etiology; D003131:Combined Modality Therapy; D005998:Glycine / Q000008:administration & dosage / Q000009:adverse effects* / Q000493:pharmacokinetics; D006801:Humans; D006895:Hydroxyethyl Starch Derivatives / Q000627:therapeutic use; D007010:Hyponatremia / Q000139:chemically induced*; D007022:Hypotension / Q000139:chemically induced* / Q000188:drug therapy; D000860:Hypoxia / Q000097:blood / Q000209:etiology / Q000628:therapy; D008297:Male; D009638:Norepinephrine / Q000627:therapeutic use; D010952:Plasma Substitutes / Q000627:therapeutic use; D011183:Postoperative Complications / Q000097:blood / Q000139:chemically induced* / Q000188:drug therapy / Q000628:therapy; D020250:Postoperative Nausea and Vomiting / Q000139:chemically induced; D011470:Prostatic Hyperplasia / Q000601:surgery; D012121:Respiration, Artificial; D012462:Saline Solution, Hypertonic / Q000627:therapeutic use; D012996:Solutions / Q000008:administration & dosage / Q000009:adverse effects* / Q000493:pharmacokinetics; D013577:Syndrome; D007507:Therapeutic Irrigation / Q000009:adverse effects*; D020728:Transurethral Resection of Prostate
chemical_list: D006895:Hydroxyethyl Starch Derivatives; D010952:Plasma Substitutes; D012462:Saline Solution, Hypertonic; D012996:Solutions; D005998:Glycine; D009638:Norepinephrine
keywords: TURP syndrome; Transurethral resection; coma; hypertonic saline; hyponatremia