Severe hyponatremia with seizures and confirmed mild brain edema by hysteroscopic myomectomy: a case report.
Haruko OkazakiNorikazu MiuraYuki KashimaRyoichi MiyashitaKatsunori OeKeiko KawakamiTetsuya IshikawaKenichi MasuiPublished in: JA clinical reports (2020)
The electrolyte-free irrigation fluid can be absorbed rapidly during hysteroscopic surgery. Its interruption with hyponatremia should be considered against prolonged surgery. Especially under general anesthesia, caution should be exercised because the typical symptoms of hyponatremia such as nausea and confusion are blinded.