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Korean Journal of Anesthesiology 2009;57(5):629-632.
DOI: https://doi.org/10.4097/kjae.2009.57.5.629   
Developed hyponatremia during hysteroscopic myomectomy: A case report.
Hwan Hee Kim, Jin Young Hwang, Young Tae Jeon, Jung Won Hwang, Sang Hwan Do, Hyo Seok Na
1Department of Anesthesiology and Pain Medicine, College of Medicine, Seoul National University, Seoul, Korea.
2Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Sungnam, Korea. mistyblue15@naver.com
Hysteroscopy is frequently used to assist the diagnosis and treatment of a series uterine diseases. However, complications associated with the procedure including fluid overload, hyponatremia, hypo-osmolality, hemorrhage, uterine perforation, and air embolism have been reported. The incidence of fluid overload with hyponatremia during hysteroscopic procedures has been reported to be up to 6% and it can probe fatal. Thus, early recognition of this condition and prompt intervention thereof is important to prevent adverse sequelae. Here, we report a case of hyponatremia with incidental fluid overload during hysteroscopy. We detected the signs of complication early on and were thus able to manage it promptly without any resulting adverse sequelae.
Key Words: Fluid overload; Hyponatremia; Hypoosmolality; Hysteroscopy


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