Abstract
BACKGROUND: Hysteroscopic resection of retained products of conception has not been previously described to increase the risk for volume overload at the time of hysteroscopy.
CASE: A 35-year-old woman with a history of recurrent pregnancy loss was evaluated by a hysterosalpingogram that identified retained products of conception with adjacent contrast intravasation. She underwent a hysteroscopic resection of the uterine septum and products of conception. During the 15 minute operating time she developed a fluid deficit of 2,300 cc of 3% sorbitol with resulting hyponatremia despite normal pressure and flow settings on the fluid management equipment.
CONCLUSION: When a hysterosalpingogram demonstrates likely retained products of conception with an accompanying intravasation of contrast media, the provider should consider this finding a potential risk factor for excess intravasation of hysteroscopic distention media and take additional precautions to avoid volume overload.
Original language | English (US) |
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Pages (from-to) | 69-72 |
Number of pages | 4 |
Journal | The Journal of reproductive medicine |
Volume | 61 |
Issue number | 1-2 |
State | Published - Jan 1 2016 |
Externally published | Yes |
ASJC Scopus subject areas
- Medicine(all)