Life-threatening acute water intoxication in a woman undergoing hysteroscopic myomectomy: a case report and review of the literature

Abstract

Abstract Background Acute water intoxication after hysteroscopy is a rare, life-threatening condition, often accompanied with delayed diagnosis owing to masked symptoms because of general anesthesia. Case presentation Herein we presented a 39-year-old female who presented with cardiac arrest after hysteroscopic myomectomy because of acute water intoxication and survived after extracorporeal membrane oxygenation, continuous venous–venous hemofiltration, and aggressive high sodium fluid resuscitation. Conclusion Failure to recognize and treat this condition appropriately may lead to potentially lethal cardiopulmonary complications.

Keywords

• Acute water intoxication
• Cardiopulmonary failure
• Hysteroscopic myomectomy
• Extracorporeal membrane oxygenation