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Hallucination and visual disturbances in transurethral prostatic resection.
1Department of Anaesthesiology, Huddinge University Hospital, Sweden.
Intensive Care Medicine
|January 1, 1988
Summary
Transurethral Resection (TUR) syndrome was successfully treated in a patient using glycine 2.2% irrigating fluid. The patient experienced visual disturbances, hypertension, and hallucinations, alongside elevated non-essential amino acids.
Area of Science:
- Nephrology
- Endocrinology
- Urology
Background:
- Transurethral Resection (TUR) is a common surgical procedure.
- The use of irrigating fluids during TUR can lead to systemic absorption.
- Transurethral Resection (TUR) syndrome is a rare but serious complication.
Observation:
- A patient undergoing TUR developed symptoms including visual disturbances and hypertension.
- Glycine 2.2% in water was utilized as the irrigating fluid during the procedure.
- The patient later reported experiencing vivid hallucinations.
Findings:
- Blood chemistry analyses indicated significant elevations in serum concentrations of non-essential amino acids.
- These findings suggest a link between glycine irrigation and metabolic derangements.
- The observed symptoms are consistent with established presentations of TUR syndrome.
Implications:
- This case highlights the potential risks associated with specific irrigating fluids in TUR.
- Early recognition and management of TUR syndrome are crucial for patient outcomes.
- Further research into optimal irrigating solutions and monitoring protocols for TUR is warranted.