Hypervolemic pulmonary edema and severe coagulopathy after intrauterine dextran instillation
Articolo
Data di Pubblicazione:
1992
Citazione:
Hypervolemic pulmonary edema and severe coagulopathy after intrauterine dextran instillation / P. Vercellini, R. Rossi, B. Pagnoni, L. Fedele. - In: OBSTETRICS AND GYNECOLOGY. - ISSN 0029-7844. - 79:5(1992 May), pp. 838-839.
Abstract:
A healthy young woman with recurrent spontaneous abortion and septate uterus underwent hysteroscopic metroplasty with intracavitary instillation of 1350 mL of 10% dextran 40 in normal saline. After the operation, the patient developed acute hypervolemic pulmonary edema and severe coagulopathy due to temporary impairment of platelet function. Fluid overload, which could have been caused by the hyperosmolar properties of dextran, worsened progressively as fluids were drawn from the interstitial space and urine output was reduced. The use of a dilute and/or low-molecular-weight dextran solution to distend the uterine cavity during operative hysteroscopy is not without risk of complications.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
Acute Disease ; Uterus ; Pulmonary Edema ; Blood Volume ; Postoperative Complications ; Humans ; Blood Coagulation Disorders ; Adult ; Administration, Intravaginal ; Molecular Weight ; Female ; Dextrans
Elenco autori:
P. Vercellini, R. Rossi, B. Pagnoni, L. Fedele
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