Intoxicação hídrica durante histeroscopia: relato de caso

Triga Argiro; Paraskeva Antia; Dimitrios K Filippou

doi:10.1590/S0034-70942004000600014

Clinical Information

Intoxicação hídrica durante histeroscopia: relato de caso

Water intoxication during hysteroscopy: case report

Triga Argiro; Paraskeva Antia; Dimitrios K Filippou

http://dx.doi.org/10.1590/S0034-70942004000600014 Braz J Anesthesiol, vol.54, n6, p.832-835, 2004

PDF

Downloads: 1

Resumo

JUSTIFICATIVA E OBJETIVOS: Intoxicação hídrica e distúrbios eletrolíticos produzindo toxicidade sistêmica podem ocorrer durante ressecção prostática transuretral e cirurgia histeroscópica, sendo em geral causados pelo volume de líquido e pela duração do procedimento. RELATO DO CASO: Apresenta-se um caso incomum de intoxicação hídrica em uma paciente de 42 anos submetida à ressecção endoscópica de mioma uterino submucoso, com descrição do diagnóstico e do tratamento. CONCLUSÕES: A intoxicação hídrica pode ser resultado de sobrecarga líquida, sendo importante o controle cuidadoso dos líquidos empregados e monitorização clínica.

Palavras-chave

CIRURGIA, COMPLICAÇÕES

Abstract

BACKGROUND AND OBJECTIVES: Water intoxication and electrolyte disturbances that produce systemic toxicity can be developed during transurethral prostatic resection procedures and hysteroscopic surgery. Usual causes are considered the fluid load and the duration of the operation. CASE REPORT: We present an unusual case of water intoxication in a 42 years old, female patient who underwent endoscopic resection of uterine submucuous myoma. The diagnosis and treatment is also described. CONCLUSIONS: Water intoxication may develop as a result of distending fluid overload, therefore careful fluid measurement and monitoring is crucial.

Keywords

COMPLICATIONS, SURGERY

Referências

Hahn RG. The transurethral resection syndrome. Acta Anaesthesiol Scand. 1991;35:557-567.

D'Agosto J, Ali NM, Maier D. Absorption of irrigating solution during hysteroscopic metroplasty. Anesthesiology. 1990;72:379-380.

Daniell JF, Kurtz BR, Ke RW. Hysteroscopic endometrial ablation using the rollerball electrode. Obstet Gynecol. 1992;80:329-332.

Magos AL, Baumann R, Lockwood GM. Experience with the first 250 endometrial resections for menorrhagia. Lancet. 1991;337:1074-1078.

Sturdee D, Hoggart B. Problems with endometrial resection. Lancet. 1991;337:1474.

Dwyer N, Hutton J, Stirrat GM. Randomised controlled trial comparing endometrial resection with abdominal hysterectomy for the surgical treatment of menorrhagia. Br J Obstet Gynaecol. 1993;100:237-243.

Williamson KM, Mushambi M. Complications of hysteroscopic treatments of menorrhagia. Br J Anaesth. 1996;77:305-308.

Krohn JS. Dilutional hypocalcemia in association with dilutional hyponatremia. Anesthesiology. 1993;79:1136-1138.

Malone PR, Davies JH, Standfield NJ. Metabolic consequences of forced diuresis following prostatectomy. Br J Urol. 2001;58:406-411.

Intoxicação hídrica durante histeroscopia: relato de caso

Water intoxication during hysteroscopy: case report

Triga Argiro; Paraskeva Antia; Dimitrios K Filippou

Resumo

Palavras-chave

Abstract

Keywords

Referências

Links

Compartilhar

Braz J Anesthesiol