Life-threatening acute water intoxication in a woman undergoing hysteroscopic myomectomy: a case report and review of the literature
Chen-Yi Liao, Chang-Han Lo, Mu-Xian Yu, Wei‐Hung Chan, Kuang‐Yu Wei, Min-Feng Tseng, Chia‐Chao Wu
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.
Topics & Concepts
MedicineExtracorporeal membrane oxygenationHysteroscopyHemofiltrationWater intoxicationAnesthesiaCardiopulmonary resuscitationSurgeryResuscitationLife savingInternal medicineHyponatremiaHemodialysisMedical emergencyElectrolyte and hormonal disordersIon Transport and Channel RegulationPotassium and Related Disorders