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- Diego Anta, José M Beleña, Raquel Álvarez, and Mónica Núñez.
- Sureste University Hospital, Ronda del Sur 10, Arganda del Rey, Madrid. Electronic address: diego.anta@salud.madrid.es.
- J Clin Anesth. 2017 Feb 1; 37: 52-54.
AbstractWe describe the first case of severe hypernatremia associated to laparoscopic surgery for hydatid cyst in an adult patient after the use of hypertonic saline solution with complete resolution. Severe hypernatremia is an unusual fact at the immediate postoperative period but may have fatal consequences for the patient and need immediate action. The patient reached a serum sodium concentration of 179 mmol/L without adverse effects after 6 days of treatment. Laparoscopy could play a crucial role in Na(+) absorption due to high intraabdominal pressure caused by the pneumoperitoneum and its limitations to avoid peritoneal absorption of hypertonic saline solution. The relation between this surgical technique and the severe complication is discussed. More experience is needed in terms of safety for the patient.Copyright © 2016 Elsevier Inc. All rights reserved.
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