A rare case of hyperchloraemic normal anion gap metabolic acidosis due to absorption of normal saline irrigation fluid during holmium laser enucleation of prostate.
Bladder irrigation
Holmium laser enucleation of the prostate
Metabolic acidosis
Normal saline
Journal
Urology case reports
ISSN: 2214-4420
Titre abrégé: Urol Case Rep
Pays: United States
ID NLM: 101626357
Informations de publication
Date de publication:
Sep 2023
Sep 2023
Historique:
received:
06
05
2023
revised:
12
06
2023
accepted:
20
06
2023
medline:
17
7
2023
pubmed:
17
7
2023
entrez:
17
7
2023
Statut:
epublish
Résumé
Holmium laser enucleation of the prostate (HoLEP) is the preferred technique for surgical management of benign prostatic hyperplasia in prostates over 80 cc in size. A 72-year-old male underwent a HoLEP for catheter-dependent urinary retention in the context of a 204 cc prostate. At the end of the procedure he was clinically overloaded and had developed a combined respiratory and hyperchloremic normal anion gap metabolic acidosis secondary to excessive absorption of normal saline irrigation fluid. He was transferred to the ICU for diuresis and supportive care where he made a full recovery.
Identifiants
pubmed: 37455779
doi: 10.1016/j.eucr.2023.102470
pii: S2214-4420(23)00156-0
pmc: PMC10338294
doi:
Types de publication
Case Reports
Langues
eng
Pagination
102470Informations de copyright
© 2023 The Authors.
Références
J Anesth. 2016 Dec;30(6):1060-1062
pubmed: 27714450
Cureus. 2020 Dec 17;12(12):e12132
pubmed: 33489544
Urology. 2023 Jan;171:96-102
pubmed: 36270339
Urol Case Rep. 2022 Oct 03;45:102248
pubmed: 36238443
JA Clin Rep. 2022 Mar 10;8(1):20
pubmed: 35267114