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Severe hypocalcemia caused by absorption of sorbitol-mannitol solution during hysteroscopy

Title
Severe hypocalcemia caused by absorption of sorbitol-mannitol solution during hysteroscopy
Authors
Lee G.Y.Han J.I.Heo H.J.
Ewha Authors
이귀용한종인
SCOPUS Author ID
이귀용scopus; 한종인scopus
Issue Date
2009
Journal Title
Journal of Korean Medical Science
ISSN
1011-8934JCR Link
Citation
vol. 24, no. 3, pp. 532 - 534
Indexed
SCI; SCIE; SCOPUS; KCI WOS scopus
Abstract
Hysteroscopic procedure can be complicated by intravascular absorption of irrigating fluid. The clinical features of this complication are similar to transurethral resection of the prostate (TURP) syndrome. There have been few reports on hypocalcemia during endoscopoic surgery and clinical implications of hypocalcemia in TURP syndrome have been underestimated. We report a case of TURP syndrome association with a decreased ionized calcium concentration of 0.53 mM/L after the absorption of a large amount of sorbitol-mannitol solution during hysteroscopy. The hypotension which occurred in TURP syndrome did not respond to vasopressor and inotropic agent but responded to the administration of calcium. This case was also accompanied by hyponatremia, hyperglycemia and lactic acidosis through the metabolism of sorbitol. © The Korean Academy of Medical Sciences.
DOI
10.3346/jkms.2009.24.3.532
Appears in Collections:
의과대학 > 의학과 > Journal papers
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