Life-threatening acute water intoxication in a woman undergoing hysteroscopic myomectomy: a case report and review of the literature

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 h...

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Bibliographic Details
Main Authors: Chen-Yi Liao (Author), Chang-Han Lo (Author), Mu-Xian Yu (Author), Wei-Hung Chan (Author), Kuang-yu Wei (Author), Min-Feng Tseng (Author), Chia-Chao Wu (Author)
Format: Book
Published: BMC, 2020-03-01T00:00:00Z.
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Summary: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.
Item Description:10.1186/s12905-020-0895-y
1472-6874