Intraoperative water intoxication and hypothermia in a patient undergoing hysteroscopic submucosal fibroid resection

Abstract

Hysteroscopy is a useful diagnostic tool as well as a treatment option in many of the gynecological procedures. Although hysteroscopic procedures are generally safe in expert hands, the clinicians can face complications during and after the procedure. One of the intraoperative complications is water intoxication during the procedure. The pathophysiology and treatment of this complication are similar to the TURP syndrome. Hypothermia due to the absorption of cold irrigation fluid is another complication we must be aware of. Vigilant monitoring and choice of regional anesthesia can help early detection and prevention of these complications.

Keywords

• hypothermia
• operative hysteroscopy
• water intoxication