Developed Extrapotine Myelinolysis after Hysteroscopic Myomectomy: A case report.

Kang,  Hyo Seok; Oh,  In Young; Kim,  Young Ju; Cho,  Choon Kyu; Lee,  Su Keoung; Yang,  Sin Young; Kwon,  Yong Im; Choi,  Hwan Yeong; Yang,  Yun Seok

doi:2006.50.1.94

Case Report

Korean Journal of Anesthesiology 2006;50(1):94-98.
DOI: https://doi.org/10.4097/kjae.2006.50.1.94

Developed Extrapotine Myelinolysis after Hysteroscopic Myomectomy: A case report.

Hyo Seok Kang, In Young Oh, Young Ju Kim, Choon Kyu Cho, Su Keoung Lee, Sin Young Yang, Yong Im Kwon, Hwan Yeong Choi, Yun Seok Yang

¹Department of Anesthesiology and Pain Medicine, Eulji University School of Medicine, Daejeon, Korea. hskang0108@eulji.ac.kr
²Department of Obstetric & Gynecology, Eulji University School of Medicine, Daejeon, Korea.

Abstract

Transcervical resection of endometrium is under-utilized in the treatment of dysfunctional uterine bleeding, uterine myoma and menorrhagia. The procedure is similar to transurethral resection of prostate in men with a possibility of substantial absorption of irrigation fluid. Absorption of a large volume of fluid can cause excessive intravascular volume, hyponatremia, cerebral edema and death. Severe hyponatremia leading to extrapontine myelinolysis is an extremely rare complication of this procedure. So, We report a case of developed extrapontine myelinolysis after hysteroscopic myomectomy which, however, showed complete recovery.

Key Words: extrapontine myelinolysis; hyponatremia; irrigation fluid