Hypernatremia post hydatid cyst resection: case report
DOI:
https://doi.org/10.18203/2349-2902.isj20210390Keywords:
Hypernatremia, Iatrogenic, Seizures, Hypertonic Saline, Scolicidal, Hydatid cystAbstract
Hypernatremia or increased sodium level is defined as the plasma sodium level over 145 m mol/l. The electrolyte abnormality is associated with severe mortality (40-60%). Patients presenting acutely with this entity have varied clinical spectrum ranging from unresponsive state, dysphagia, shortness of breath, vomiting to seizures, coma or to even death. Iatrogenic hypernatremia usually a rare entity ensues after usage of hypertonic saline as scolicidal agent during hydatid cyst resection surgeries. There is a need of high level of suspicion, to be maintained in all patients being managed for clinical conditions requiring use of hypertonic saline (3-20% NS). Here we present a case of iatrogenic hypernatremia, post-surgical resection of hydatid cyst, with clinical manifestation and subsequent management in our tertiary care hospital.
References
Muhsin SA, Mount DB. Diagnosis and treatment of hypernatremia. Best Pract Res Clin Endocrinol Metab. 2016;30:189-203.
Adrogue HJ, Madias NE. Hypernatremia. N Engl J Med. 2000;342:1493-9.
Moder KG, Hurley DL. Fatal hypernatremia from exogenous salt intake: report of a case and review of the literature. Mayo Clin Proc. 1990;65:1587-94.
Goldszer RC, Coodley EL. Survival with severe hypernatremia. Arch Intern Med. 1979;139:936-7.
Ping L, Jinhua L, Yinet L. The epidemic situation and causative analysis of echinococcosis. China Animal Health Inspection. 2016;48-51.
Brunetti E, Kern P, Vuitton DA. Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans. Acta Tropica. 2010;114:1-6.
Martinez Peralta CA. A warning to surgeons who occasionally see hydatid cysts. Surgery. 1989;105:570.
Braun MM, Barstow CH, Pyzocha NJ. Diagnosis and management of sodium disorders: hyponatremia and hypernatremia. Am Fam Physician. 2015;91(5):299-307.
Handy TC, Hanzlick R, Shields LB, Reichard R, Steven Goudy. Hypernatremia and subdural hematoma in the pediatric age group: is there a causal relationship? J Forensic Sci. 1999;44:1114-8.
Lambeck J, Hieber M, Dreßing A, Niesen WD. Central Pontine Myelinosis and Osmotic Demyelination Syndrome. Dtsch Arztebl Int. 2019;116(35-36):600-6.