| Asymptomatic Severe Dilutional Hyponatremia during Transurethral Resection of the Prostate: A case report. |
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Ji Hyun Chin, Gyu Sam Hwang, Young Kug Kim, Bo Hyun Sang, Jai Hyun Hwang |
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Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. kyk@amc.seoul.kr |
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| Abstract |
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The transurethral resection of the prostate (TURP) syndrome is caused by intravascular absorption of an electrolyte-free irrigating fluid during TURP for benign prostatic hypertrophy or prostatic carcinoma. The clinical symptoms and signs include hypertension, bradycardia, respiratory distress, hypotension, nausea, vomiting, confusion, blindness, seizure, coma, hyponatremina, and hypoosmolality.
In this case, we incidentally detected very severe dilutional hyponatremia (99 mmol/L) without any symptoms during TURP and immediately took measures to treat TURP syndrome. On the third postoperative day, the hyponatremia had resolved within the normal range. |
| Key Words:
dilutional hyponatremia; hypoosmolality; transurethral resection of the prostate |
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