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Life-threatening acute water intoxication in a woman undergoing hysteroscopic myomectomy: a case report and review of the literature.
BMC Women's Health Pub Date : 2020-03-12 , DOI: 10.1186/s12905-020-0895-y
Chen-Yi Liao , Chang-Han Lo , Mu-Xian Yu , Wei-Hung Chan , Kuang-yu Wei , Min-Feng Tseng , Chia-Chao Wu

Acute water intoxication after hysteroscopy is a rare, life-threatening condition, often accompanied with delayed diagnosis owing to masked symptoms because of general anesthesia. 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. Failure to recognize and treat this condition appropriately may lead to potentially lethal cardiopulmonary complications.

中文翻译:

一名接受宫腔镜子宫肌瘤切除术的妇女危及生命的急性水中毒:一例病例报告并文献复习。

宫腔镜检查后的急性水中毒是一种罕见的危及生命的疾病,由于全身麻醉而出现掩盖的症状,常常伴有诊断延迟。在此,我们介绍了一名39岁的女性,该女性由于急性中毒而在宫腔镜子宫肌瘤切除术后出现心脏骤停,并在体外膜充氧,连续静脉-静脉血液滤过和积极的高钠液复苏后存活。未能正确识别和治疗这种情况可能会导致潜在的致命性心肺并发症。
更新日期:2020-04-22
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