Akademik Veri Yönetim Sistemi
Lokman Hekim Health Sciences, cilt.2, sa.2, ss.77-81, 2022 (Hakemli Dergi)
The hypotonic fluid used for distention of the uterus during hysteroscopic myomectomy creates hyponatremia and
hypervolemia with resulting cerebral edema. This situation is called operative hysteroscopy ıntravascular absorption
syndrome. A 33-year-old woman was admitted for elective hysteroscopic myomectomy with general anesthesia. Sorbitol/mannitol solution was used as a distending solution for surgical hysteroscopy. The patient did not wake up
after the operation and generalized seizures had been started. Hyponatremia was detected in her blood tests and
started to be corrected rapidly with hypertonic saline. Brain edema was considered in her cranial magnetic resonance
imaging. The patient was completely recovered after the treatment. This case is the case of brain edema caused by
hyponatremia occurring after hysteroscopic surgery. It was presented with rarely reported symptoms such as seizures
and psychosis, which resulted in a good prognosis. A case of acute cerebral edema progressing in this way has been
rarely reported in the literature.