Acute Symptomatic Hyponatremia After Computed Tomography Renal Protocol.
Computed tomography (CT) is a widely used imaging modality. Although hyponatremia after CT imaging is rare, its effects can be devastating. Hyperosmolar radiocontrast acts as effective osmoles and causes fluid migration from intracellular into extracellular compartment. Dilutional hyponatremia will ensue if translocation of fluid is in excess of diuresis. This case report detailed an unusual case of acute symptomatic hyponatremia after CT renal protocol and the treatments given after its recognition.
From the *Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre (National University of Malaysia), Kuala Lumpur; and †Department of Surgery, Universiti Teknologi Mara, Shah Alam, Malaysia.
Li Yi
LY
Lim
Che Ani
CA
Mohd Firdaus
Xeng Inn
XI
Fam
Eng Hong
EH
Goh
D000208:Acute Disease; D003287:Contrast Media / Q000008:administration & dosage / Q000009:adverse effects; D003937:Diagnosis, Differential; D006801:Humans; D007010:Hyponatremia / Q000139:chemically induced* / Q000175:diagnosis* / Q000628:therapy; D007472:Iohexol / Q000008:administration & dosage / Q000009:adverse effects*; D007680:Kidney Neoplasms / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D012462:Saline Solution, Hypertonic / Q000008:administration & dosage; D012982:Sodium, Dietary / Q000627:therapeutic use; D063189:Symptom Assessment; D014057:Tomography, X-Ray Computed / Q000009:adverse effects*; D016896:Treatment Outcome
D003287:Contrast Media; D012462:Saline Solution, Hypertonic; D012982:Sodium, Dietary; D007472:Iohexol