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[Water intoxication during hysteroscopy: case report.].
Triga Argiro1, Paraskeva Antia, Dimitrios K Filippou
1Dept. of Anaesthesiology, Athens Anticancer, Hospital 'Agios Savvas', Athens, Greece.
Revista Brasileira De Anestesiologia
|May 28, 2009
Summary
Water intoxication can occur during gynecological surgery due to excessive fluid use. Careful monitoring of fluid balance is essential to prevent this serious complication.
Area of Science:
- Urogynecology
- Surgical Fluid Management
Context:
- Transurethral prostatic resection and hysteroscopic surgery carry risks of water intoxication.
- Fluid overload during procedures is a primary cause of electrolyte disturbances and systemic toxicity.
Purpose:
- To report an unusual case of water intoxication in a female patient undergoing endoscopic uterine myoma resection.
- To describe the diagnosis and treatment of this rare complication.
Summary:
- A 42-year-old female developed water intoxication following endoscopic resection of a uterine submucous myoma.
- The case highlights the potential for severe fluid overload even in non-prostate surgeries.
Impact:
- Emphasizes the critical need for meticulous fluid measurement and monitoring during hysteroscopic procedures.
- Highlights the importance of recognizing and managing water intoxication to prevent systemic toxicity in gynecological surgery.
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