Operative Hysteroscopy Intravascular Absorption Syndrome Causing Hyponatremia with Associated Cerebral and Pulmonary Edema

Operative Hysteroscopy Intravascular Absorption Syndrome Causing Hyponatremia with Associated Cerebral and Pulmonary Edema

Operative hysteroscopy intravascular absorption syndrome is an iatrogenic syndrome caused by absorption of hypo-osmolar distension medium during hysteroscopy, which can lead to rapid hyponatremia with resulting cerebral and pulmonary edema. We present a case of a 47-year-old female who underwent hys...

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Main Authors: Marco F. Elegante, Joseph A. Hamera, Jane Xiao, David A. Berger
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2019-08-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/1sv0f22f
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spelling doaj-a874e2f6c53842f5a2428b4252fdc9d92020-11-25T03:10:13ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2019-08-013310.5811/cpcem.2019.4.41878cpcem-3-252Operative Hysteroscopy Intravascular Absorption Syndrome Causing Hyponatremia with Associated Cerebral and Pulmonary EdemaMarco F. Elegante0Joseph A. Hamera1Jane Xiao2David A. Berger3Oakland University William Beaumont School of Medicine, Department of Emergency Medicine, Royal Oak, MichiganOakland University William Beaumont School of Medicine, Department of Emergency Medicine, Royal Oak, MichiganOregon Health Sciences University, Department of Emergency Medicine, Portland, OregonOakland University William Beaumont School of Medicine, Department of Emergency Medicine, Royal Oak, MichiganOperative hysteroscopy intravascular absorption syndrome is an iatrogenic syndrome caused by absorption of hypo-osmolar distension medium during hysteroscopy, which can lead to rapid hyponatremia with resulting cerebral and pulmonary edema. We present a case of a 47-year-old female who underwent hysteroscopic myomectomy at an outpatient ambulatory surgical center who was brought to the emergency department with dyspnea, hypoxia, and altered mental status. Workup showed hyponatremia with cerebral edema on computed tomography of the head and pulmonary edema on chest radiograph. The patient improved after resuscitation with intravenous saline and supplemental oxygen, and she was discharged home the next day.https://escholarship.org/uc/item/1sv0f22f
collection DOAJ
language English
format Article
sources DOAJ
author Marco F. Elegante
Joseph A. Hamera
Jane Xiao
David A. Berger
spellingShingle Marco F. Elegante
Joseph A. Hamera
Jane Xiao
David A. Berger
Operative Hysteroscopy Intravascular Absorption Syndrome Causing Hyponatremia with Associated Cerebral and Pulmonary Edema
Clinical Practice and Cases in Emergency Medicine
author_facet Marco F. Elegante
Joseph A. Hamera
Jane Xiao
David A. Berger
author_sort Marco F. Elegante
title Operative Hysteroscopy Intravascular Absorption Syndrome Causing Hyponatremia with Associated Cerebral and Pulmonary Edema
title_short Operative Hysteroscopy Intravascular Absorption Syndrome Causing Hyponatremia with Associated Cerebral and Pulmonary Edema
title_full Operative Hysteroscopy Intravascular Absorption Syndrome Causing Hyponatremia with Associated Cerebral and Pulmonary Edema
title_fullStr Operative Hysteroscopy Intravascular Absorption Syndrome Causing Hyponatremia with Associated Cerebral and Pulmonary Edema
title_full_unstemmed Operative Hysteroscopy Intravascular Absorption Syndrome Causing Hyponatremia with Associated Cerebral and Pulmonary Edema
title_sort operative hysteroscopy intravascular absorption syndrome causing hyponatremia with associated cerebral and pulmonary edema
publisher eScholarship Publishing, University of California
series Clinical Practice and Cases in Emergency Medicine
issn 2474-252X
publishDate 2019-08-01
description Operative hysteroscopy intravascular absorption syndrome is an iatrogenic syndrome caused by absorption of hypo-osmolar distension medium during hysteroscopy, which can lead to rapid hyponatremia with resulting cerebral and pulmonary edema. We present a case of a 47-year-old female who underwent hysteroscopic myomectomy at an outpatient ambulatory surgical center who was brought to the emergency department with dyspnea, hypoxia, and altered mental status. Workup showed hyponatremia with cerebral edema on computed tomography of the head and pulmonary edema on chest radiograph. The patient improved after resuscitation with intravenous saline and supplemental oxygen, and she was discharged home the next day.
url https://escholarship.org/uc/item/1sv0f22f
work_keys_str_mv AT marcofelegante operativehysteroscopyintravascularabsorptionsyndromecausinghyponatremiawithassociatedcerebralandpulmonaryedema
AT josephahamera operativehysteroscopyintravascularabsorptionsyndromecausinghyponatremiawithassociatedcerebralandpulmonaryedema
AT janexiao operativehysteroscopyintravascularabsorptionsyndromecausinghyponatremiawithassociatedcerebralandpulmonaryedema
AT davidaberger operativehysteroscopyintravascularabsorptionsyndromecausinghyponatremiawithassociatedcerebralandpulmonaryedema
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