POST-OPERATIVE HYPERGLYCEMIA IN A NON-DIABETIC PATIENT WITH OPERATIVE HYSTEROSCOPY INTRAVASCULAR ABSORPTION SYNDROME (OHIAS)

Authors

  • Adrian Oscar Bacena Division of Endocrinology, Diabetes, and Metabolism, Department of Medicine, Philippine General Hospital-University of the Philippines Manila
  • Mark Anthony Sandoval Section of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Philippine General Hospital-University of the Philippines Manila
  • Carmela Aquino-Cabral Section of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Philippine General Hospital-University of the Philippines Manila
  • Margaret Joyce Cristi-Limson Section of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Philippine General Hospital-University of the Philippines Manila

Keywords:

hysteroscopy, hyperglycemia, irrigating fluid

Abstract

INTRODUCTION
Operative hysteroscopic intravascular absorption syndrome (OHIAS) is an uncommon condition arising from excessive fluid overboard from distending medium intravasation during hysteroscopy. This causes acute hyponatremia, pulmonary edema and other metabolic disturbances. This case aims to report the uncommon presentation of hyperglycemia in a non-diabetic patient after hysteroscopy using 5% dextrose water (D5W) as distending fluid.

CASE
Clinical examination and laboratories were employed to arrive at a diagnosis and therapeutic plan.

CONCLUSION
The patient’s hyperglycemia was a response to the use of D5W as distending medium, with consequent volume expansion and dilutional hyponatremia. Vigilance is imperative not only in monitoring fluid overload and serum electrolytes, but also to the glycemic status of the patient.

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Published

2022-06-08

How to Cite

Bacena, A. O., Sandoval, M. A., Aquino-Cabral, C., & Cristi-Limson, M. J. (2022). POST-OPERATIVE HYPERGLYCEMIA IN A NON-DIABETIC PATIENT WITH OPERATIVE HYSTEROSCOPY INTRAVASCULAR ABSORPTION SYNDROME (OHIAS). Journal of the ASEAN Federation of Endocrine Societies, 34(2), 57. Retrieved from https://www.asean-endocrinejournal.org/index.php/JAFES/article/view/2053

Issue

Vol. 34 No. 2 (2019): AFES Book of Abstracts (Supplement)

Section

Abstracts of Case Reports | Prediabetes, Diabetes, Hypoglycemia

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