Klinzing S, Schlensog I, Brauer M, Klein U
Klinik für Anästhesiologie und Intensivtherapie der Friedrich-Schiller-Universität Jena.
Zentralbl Gynakol. 1999;121(2):98-100.
Absorption of hypotonic irrigating solution with consecutive severe hyponatremia is a potential risk of the endometrial rollerball ablation procedure.
We report the case of a 45-year-old female, who underwent an endometrial rollerball ablation procedure.
After irrigating the uterine cavity for 45 min with 10 1 of 2.7% Sorbitol and 0.54% Mannitol she developed clinical signs of pulmonary edema with severe hyponatremia.
A TUR-like syndrome as a potential risk of the rollerball ablation procedure is discussed briefly. Strategies to minimize the risk and to early detect the TUR-like syndrome are suggested.
