Chen-Yi Liao1, Chang-Han Lo2, Mu-Xian Yu3, Wei-Hung Chan4, Kuang-Yu Wei2, Min-Feng Tseng2, Chia-Chao Wu5. 1. Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan. 2. Division of Nephrology, Department of Medicine, Tri Service General Hospital, Pen-Hu Branch, Peng-Hu, Taiwan. 3. Division of Nephrology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, No. 325, Section 2, Cheng-Kung Road, Neihu, 114, Taipei, Taiwan. 4. Department of Obstetrics and Gynecology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan. 5. Division of Nephrology, Department of Medicine, Tri Service General Hospital, Pen-Hu Branch, Peng-Hu, Taiwan. wucc@mail.ndmctsgh.edu.tw.
Abstract
BACKGROUND: Acute water intoxication after hysteroscopy is a rare, life-threatening condition, often accompanied with delayed diagnosis owing to masked symptoms because of general anesthesia. CASE PRESENTATION: Herein we presented a 39-year-old female who presented with cardiac arrest after hysteroscopic myomectomy because of acute water intoxication and survived after extracorporeal membrane oxygenation, continuous venous-venous hemofiltration, and aggressive high sodium fluid resuscitation. CONCLUSION: Failure to recognize and treat this condition appropriately may lead to potentially lethal cardiopulmonary complications.
BACKGROUND: Acute water intoxication after hysteroscopy is a rare, life-threatening condition, often accompanied with delayed diagnosis owing to masked symptoms because of general anesthesia. CASE PRESENTATION: Herein we presented a 39-year-old female who presented with cardiac arrest after hysteroscopic myomectomy because of acute water intoxication and survived after extracorporeal membrane oxygenation, continuous venous-venous hemofiltration, and aggressive high sodium fluid resuscitation. CONCLUSION: Failure to recognize and treat this condition appropriately may lead to potentially lethal cardiopulmonary complications.
Authors: Anwar S Atieh; Omar K Abu Shamma; Mohammad O Abdelhafez; Muath A Baniowda; Samia Abed; Basheer H Babaa; Abdurrahman Hamadah; Kamel A Gharaibeh Journal: Case Rep Nephrol Date: 2021-09-20