Life-Threatening Laryngeal Edema and Hyponatremia during Hysteroscopy
Author Information
Author(s): Barbara Wegmüller, Kerstin Hug, Charlotte Meier Buenzli, Bernd Yuen, Marco Maggiorini, Alain Rudiger
Primary Institution: University Hospital Zurich
Conclusion
The patient developed severe complications during a hysteroscopic procedure but made a full recovery after intensive treatment.
Supporting Evidence
- The patient developed laryngeal edema after 80 minutes of surgery.
- Hyponatremia was indicated by a serum sodium level of 78 mmoL/L.
- The patient required emergency tracheostomy due to massive laryngeal swelling.
- Resuscitation included continuous venovenous hemodiafiltration.
Takeaway
A woman had a serious reaction during a surgery where fluid was used to help the doctors see better, but after a lot of care, she got better.
Methodology
The patient underwent a hysteroscopic myomectomy with standard monitoring and anesthesia, and developed complications requiring emergency intervention.
Limitations
The exact irrigation fluid balance was not available, which complicates understanding the full extent of fluid absorption.
Participant Demographics
A 43-year-old woman with a history of myomas.
Digital Object Identifier (DOI)
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