Abstract:
RATIONALE:Hypernatremia is a rare but fatal complication of hypertonic saline (HS) irrigation in hepatic hydatid disease. It needs careful monitoring and treatment. PATIENT CONCERNS:A 28-year-old woman with hepatic hydatid cysts who received operation treatment developed electrolyte disturbances. We also conducted a retrospective study about influence of HS application on electrolytes in patients with hepatic hydatid disease receiving surgery. DIAGNOSES:Hypernatremia, developed after HS irrigation. INTERVENTIONS:Normal saline, 5% dextrose and other supportive treatment were administered. In the retrospective study, a comparison of electrolyte and glucose fluctuation was made among different HS application groups. OUTCOMES:The patient developed hypernatremia after irrigation with HS and died from severe complications. Although some cases of complications are found, no significant relationship between HS irrigation and hypernatremia was reported according to the retrospective study. LESSONS:Hypernatremia after HS irrigation remains rare but might cause severe complications. Monitoring and appropriate treatment are needed to improve prognosis.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Zeng R,Wu R,Lv Q,Tong N,Zhang Ydoi
10.1097/MD.0000000000007889subject
Has Abstractpub_date
2017-09-01 00:00:00pages
e7889issue
37eissn
0025-7974issn
1536-5964pii
00005792-201709150-00022journal_volume
96pub_type
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