The association of hypernatremia and hypertonic saline irrigation in hepatic hydatid cysts: A case report and retrospective study.

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

Medicine

authors

Zeng R,Wu R,Lv Q,Tong N,Zhang Y

doi

10.1097/MD.0000000000007889

subject

Has Abstract

pub_date

2017-09-01 00:00:00

pages

e7889

issue

37

eissn

0025-7974

issn

1536-5964

pii

00005792-201709150-00022

journal_volume

96

pub_type

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