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Canadian Journal of Anesthesia, Vol 34, 193-195, Copyright © 1987 by Canadian Anesthesiologists' Society

ARTICLES

Transurethral prostatectomy complicated by intraperitoneal extravasation of irrigating fluid

S Weber, JH Acuff, M Mazloomdoost and BI Kirimli

A patient underwent transurethral resection of the prostate (TURP), which was complicated at the outset of the procedure by an inadvertent puncture wound of the dome of the bladder and the peritoneum. Shortly after resection was initiated, the patient developed shoulder pain and a tensely distended abdomen, although at this time the serum sodium concentration remained normal. Over the next several hours the patient developed significant hyponatremia. The prolonged and gradual time course of this development suggests that fluid and electrolyte shifts occurred via diffusion across the peritoneal membrane. This case illustrates a rare but potentially dangerous complication of TURP that requires recognition prior to initiation of appropriate therapy.


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I. Dorotta, A. Basali, M. Ritchey, J. F. O'Hara Jr., and J. Sprung
Transurethral Resection Syndrome After Bladder Perforation
Anesth. Analg., November 1, 2003; 97(5): 1536 - 1538.
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Copyright © 1987 by the Canadian Anesthesiologists' Society.