Gynaecological Transurethral Resection Syndrome in a Young Lady under General Anesthesia: A Case Report

Area of Science:

• Gynecology
• Urology
• Anesthesiology

Background:

• Transurethral resection of the prostate (TURP) uses electrolyte-free glycine irrigation, posing a risk of TURP syndrome.
• Hysteroscopic resection shares principles with TURP, potentially leading to a similar complication termed gynecological TUR syndrome.

Purpose of the Study:

• To report a case of acute symptomatic hyponatremia secondary to hysteroscopy.
• To highlight the importance of a multidisciplinary approach in managing gynecological TUR syndrome.

Main Methods:

• Case report of a 25-year-old female undergoing hysteroscopy under general anesthesia.
• Involvement of a multidisciplinary team including surgeons, anesthetists, and neurologists for rapid management.

Main Results:

• The patient developed acute symptomatic hyponatremia post-hysteroscopy.
• Prompt multidisciplinary intervention was initiated for management.

Conclusions:

• Gynecological TUR syndrome is a critical complication of hysteroscopic procedures.
• Effective management necessitates a collaborative, multidisciplinary team approach.