E-ISSN 2277-338X | ISSN 2320-4664
 

Case Report 


Severe Pulmonary Edema due to Hyponatremia after Hysteroscopy; Rapid and Full Recovery

Akcan Akkaya, Ahmet Karatas, Abdullah Demirhan, Tulay Ozlu, Murat Bilgi, Ümit Yasar Tekelioglu, Kadir Akkaya.

Abstract
Hysteroscopy is an important diagnostic and therapotic procedure that can cause serious complications, including uterine perforation and dilutional hyponatremia. Hyponatremia itself may cause central pontine myelinolysis, and pulmonary eudema, which could be dangerous.

We report a patient who developed near fatal pulmonary edema, and hyponatremia during hysteroscopy. A total of 12 L irrigation fluid was given in 45 minutes and eight liters were collected. At the end of the procedure, the patient was suddenly being desaturated (Saturation O2 < %50) and huge amount of frothy fluid had come out of laryngeal mask airway, pulmonary eudema was considered. The supportive treatment, mechanical ventilation and 3% hipertonic saline solution were used in the ICU. Inital sodium levels were below the value of 100mEq/L but after 12 hours it was reached 135mEq/L. At the 17th hour she was extubated and day after she healed completely. This case report emphasizes the importance of rapid correction of hyponatremia and pulmonary eudema caused by excessive fluid overload during hysteroscopic surgery.

Key words: Hysteroscopy, Hyponatremia, Pulmonary eudema, 3% Sodium chloride


 
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How to Cite this Article
Pubmed Style

Akcan Akkaya, Ahmet Karatas, Abdullah Demirhan, Tulay Ozlu, Murat Bilgi, Umit Yasar Tekelioglu, Kadir Akkaya. Severe Pulmonary Edema due to Hyponatremia after Hysteroscopy; Rapid and Full Recovery. Int J Med Sci Public Health. 2014; 3(3): 375-377. doi:10.5455/ijmsph.2013.1212234


Web Style

Akcan Akkaya, Ahmet Karatas, Abdullah Demirhan, Tulay Ozlu, Murat Bilgi, Umit Yasar Tekelioglu, Kadir Akkaya. Severe Pulmonary Edema due to Hyponatremia after Hysteroscopy; Rapid and Full Recovery. http://www.ijmsph.com/?mno=44656 [Access: December 10, 2018]. doi:10.5455/ijmsph.2013.1212234


AMA (American Medical Association) Style

Akcan Akkaya, Ahmet Karatas, Abdullah Demirhan, Tulay Ozlu, Murat Bilgi, Umit Yasar Tekelioglu, Kadir Akkaya. Severe Pulmonary Edema due to Hyponatremia after Hysteroscopy; Rapid and Full Recovery. Int J Med Sci Public Health. 2014; 3(3): 375-377. doi:10.5455/ijmsph.2013.1212234



Vancouver/ICMJE Style

Akcan Akkaya, Ahmet Karatas, Abdullah Demirhan, Tulay Ozlu, Murat Bilgi, Umit Yasar Tekelioglu, Kadir Akkaya. Severe Pulmonary Edema due to Hyponatremia after Hysteroscopy; Rapid and Full Recovery. Int J Med Sci Public Health. (2014), [cited December 10, 2018]; 3(3): 375-377. doi:10.5455/ijmsph.2013.1212234



Harvard Style

Akcan Akkaya, Ahmet Karatas, Abdullah Demirhan, Tulay Ozlu, Murat Bilgi, Umit Yasar Tekelioglu, Kadir Akkaya (2014) Severe Pulmonary Edema due to Hyponatremia after Hysteroscopy; Rapid and Full Recovery. Int J Med Sci Public Health, 3 (3), 375-377. doi:10.5455/ijmsph.2013.1212234



Turabian Style

Akcan Akkaya, Ahmet Karatas, Abdullah Demirhan, Tulay Ozlu, Murat Bilgi, Umit Yasar Tekelioglu, Kadir Akkaya. 2014. Severe Pulmonary Edema due to Hyponatremia after Hysteroscopy; Rapid and Full Recovery. International Journal of Medical Science and Public Health, 3 (3), 375-377. doi:10.5455/ijmsph.2013.1212234



Chicago Style

Akcan Akkaya, Ahmet Karatas, Abdullah Demirhan, Tulay Ozlu, Murat Bilgi, Umit Yasar Tekelioglu, Kadir Akkaya. "Severe Pulmonary Edema due to Hyponatremia after Hysteroscopy; Rapid and Full Recovery." International Journal of Medical Science and Public Health 3 (2014), 375-377. doi:10.5455/ijmsph.2013.1212234



MLA (The Modern Language Association) Style

Akcan Akkaya, Ahmet Karatas, Abdullah Demirhan, Tulay Ozlu, Murat Bilgi, Umit Yasar Tekelioglu, Kadir Akkaya. "Severe Pulmonary Edema due to Hyponatremia after Hysteroscopy; Rapid and Full Recovery." International Journal of Medical Science and Public Health 3.3 (2014), 375-377. Print. doi:10.5455/ijmsph.2013.1212234



APA (American Psychological Association) Style

Akcan Akkaya, Ahmet Karatas, Abdullah Demirhan, Tulay Ozlu, Murat Bilgi, Umit Yasar Tekelioglu, Kadir Akkaya (2014) Severe Pulmonary Edema due to Hyponatremia after Hysteroscopy; Rapid and Full Recovery. International Journal of Medical Science and Public Health, 3 (3), 375-377. doi:10.5455/ijmsph.2013.1212234





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