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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BMC
2020-03-01
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| Series: | BMC Women's Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12905-020-0895-y |
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doaj-51a0812f527a48a295de095ee5f1bb8e2020-11-25T03:19:31ZengBMCBMC Women's Health1472-68742020-03-012011510.1186/s12905-020-0895-yLife-threatening acute water intoxication in a woman undergoing hysteroscopic myomectomy: a case report and review of the literatureChen-Yi Liao0Chang-Han Lo1Mu-Xian Yu2Wei-Hung Chan3Kuang-yu Wei4Min-Feng Tseng5Chia-Chao Wu6Kaohsiung Armed Forces General HospitalDivision of Nephrology, Department of Medicine, Tri Service General Hospital, Pen-Hu BranchDivision of Nephrology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical CenterDepartment of Obstetrics and Gynecology, Tri-Service General Hospital, National Defense Medical CenterDivision of Nephrology, Department of Medicine, Tri Service General Hospital, Pen-Hu BranchDivision of Nephrology, Department of Medicine, Tri Service General Hospital, Pen-Hu BranchDivision of Nephrology, Department of Medicine, Tri Service General Hospital, Pen-Hu BranchAbstract 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.http://link.springer.com/article/10.1186/s12905-020-0895-yAcute water intoxicationCardiopulmonary failureHysteroscopic myomectomyExtracorporeal membrane oxygenation |
| collection |
DOAJ |
| language |
English |
| format |
Article |
| sources |
DOAJ |
| author |
Chen-Yi Liao Chang-Han Lo Mu-Xian Yu Wei-Hung Chan Kuang-yu Wei Min-Feng Tseng Chia-Chao Wu |
| spellingShingle |
Chen-Yi Liao Chang-Han Lo Mu-Xian Yu Wei-Hung Chan Kuang-yu Wei Min-Feng Tseng Chia-Chao Wu Life-threatening acute water intoxication in a woman undergoing hysteroscopic myomectomy: a case report and review of the literature BMC Women's Health Acute water intoxication Cardiopulmonary failure Hysteroscopic myomectomy Extracorporeal membrane oxygenation |
| author_facet |
Chen-Yi Liao Chang-Han Lo Mu-Xian Yu Wei-Hung Chan Kuang-yu Wei Min-Feng Tseng Chia-Chao Wu |
| author_sort |
Chen-Yi Liao |
| title |
Life-threatening acute water intoxication in a woman undergoing hysteroscopic myomectomy: a case report and review of the literature |
| title_short |
Life-threatening acute water intoxication in a woman undergoing hysteroscopic myomectomy: a case report and review of the literature |
| title_full |
Life-threatening acute water intoxication in a woman undergoing hysteroscopic myomectomy: a case report and review of the literature |
| title_fullStr |
Life-threatening acute water intoxication in a woman undergoing hysteroscopic myomectomy: a case report and review of the literature |
| title_full_unstemmed |
Life-threatening acute water intoxication in a woman undergoing hysteroscopic myomectomy: a case report and review of the literature |
| title_sort |
life-threatening acute water intoxication in a woman undergoing hysteroscopic myomectomy: a case report and review of the literature |
| publisher |
BMC |
| series |
BMC Women's Health |
| issn |
1472-6874 |
| publishDate |
2020-03-01 |
| description |
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. |
| topic |
Acute water intoxication Cardiopulmonary failure Hysteroscopic myomectomy Extracorporeal membrane oxygenation |
| url |
http://link.springer.com/article/10.1186/s12905-020-0895-y |
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