Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1590/S0034-70942004000600014
Brazilian Journal of Anesthesiology
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
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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

References

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