title: Iatrogenic water intoxication during pelvic ultrasonography in a patient with diabetes insipidus.
abstract: Pelvic ultrasonography (US) is a simple and non-invasive radiologic test to evaluate the pelvic organs. It requires a full bladder for better visualization. Our case is a 14-year-old female with diabetes insipidus (DI) who admitted to the pediatric emergency service with the complaints of seizure and agitation after drinking 4 liters of water in one hour for a pelvic US examination due to work-up for delayed puberty. Her biochemical and clinical evaluation revealed water intoxication (WI). To our knowledge, this is the first WI case developed in a patient with DI. Here, we discuss the underlying factors leading to this complication and recommended an approach to obtain a better sonographic image without necessitating oral water intake to fill the urinary bladder.
authors.affiliation: Departments of Pediatric Emergency, Gazi University Faculty of Medicine, Ankara, Turkey. oderinoz@gazi.edu.tr
authors.forename: Okşan
authors.initials: O
authors.lastname: Derinöz
authors.forename: Hamdi Cihan
authors.initials: HC
authors.lastname: Emeksiz
authors.forename: Gökhan
authors.initials: G
authors.lastname: Kalkan
authors.forename: Orhun
authors.initials: O
authors.lastname: Camurdan
mesh_terms: D000293:Adolescent; D003919:Diabetes Insipidus / Q000150:complications*; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D010388:Pelvis / Q000000981:diagnostic imaging*; D014463:Ultrasonography; D014869:Water Intoxication / Q000175:diagnosis* / Q000209:etiology*