{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T10:07:27Z","timestamp":1789553247336,"version":"build-2803163510"},"reference-count":13,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Transurethral resection of prostate (TURP) syndrome is a complication characterised by symptoms changing from an asymptomatic hyponatremic state to convulsions, coma and death due to absorption of irrigation fluid during TURP. The syndrome appears to be related to the amount of fluid that enters the circulation via the blood vessels in the resection area. The first step in the course of action for therapy is to control bleeding and suspend the operation. In the case presented, we aimed to emphasise the importance of an early diagnosis and treatment of TURP syndrome in a patient that developed hyponatremia (90\u2005mmol\/l) while under general anaesthesia during a TURP procedure. In addition, multiple cystoscopic applications in the same session may facilitate development of the TURP syndrome.<\/jats:p>","DOI":"10.1136\/bcr-2012-006899","type":"journal-article","created":{"date-parts":[[2012,11,19]],"date-time":"2012-11-19T11:35:44Z","timestamp":1353324944000},"page":"bcr-2012-006899","source":"Crossref","is-referenced-by-count":25,"title":["TURP syndrome and severe hyponatremia under general anaesthesia"],"prefix":"10.1136","volume":"2012","author":[{"given":"Ismail","family":"Demirel","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Reanimation, Firat University, Elazig, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayse B","family":"Ozer","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Reanimation, Firat University, Elazig, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa K","family":"Bayar","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Reanimation, Firat University, Elazig, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omer L","family":"Erhan","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Reanimation, Firat University, Elazig, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2012,11,19]]},"reference":[{"key":"2025082800365202000_2012.nov16_1.bcr-2012-006899.1","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1111\/j.1445-2197.1998.tb04735.x","article-title":"Postoperative hyponatraemic encephalopathy: water intoxication","volume":"68","author":"Hughes","year":"1998","journal-title":"Aust NZ J Surg"},{"key":"2025082800365202000_2012.nov16_1.bcr-2012-006899.2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410x.2000.00733.x"},{"key":"2025082800365202000_2012.nov16_1.bcr-2012-006899.3","doi-asserted-by":"publisher","DOI":"10.1097\/00000539-199702000-00037"},{"key":"2025082800365202000_2012.nov16_1.bcr-2012-006899.4","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1016\/S0022-5347(17)40731-2","article-title":"Transurethral prostatectomy: immediate and postoperative complications: a operative study 13 participating institutions evaluating 3885 patients","volume":"142","author":"Mebust","year":"1989","journal-title":"J Urol"},{"key":"2025082800365202000_2012.nov16_1.bcr-2012-006899.5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1987.tb04940.x"},{"key":"2025082800365202000_2012.nov16_1.bcr-2012-006899.6","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/S0210-4806(01)72563-6","article-title":"Reabsorption syndrome after transurethral resection (TUR) of the prostate: review of physiologic, diagnostic, and therapeutic features","volume":"25","author":"Clemente Ramos","year":"2001","journal-title":"Actas Urol Esp"},{"key":"2025082800365202000_2012.nov16_1.bcr-2012-006899.7","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2044.2001.01524-4.x"},{"key":"2025082800365202000_2012.nov16_1.bcr-2012-006899.8","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2346.2000.00746.x"},{"key":"2025082800365202000_2012.nov16_1.bcr-2012-006899.9","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1111\/j.1399-6576.1994.tb03950.x","article-title":"ECG and cardiac enzymes after glycine absorption in transurethral prostatic resection","volume":"38","author":"Hahn","year":"1994","journal-title":"Acta Anaesthesiol Scand"},{"key":"2025082800365202000_2012.nov16_1.bcr-2012-006899.10","doi-asserted-by":"publisher","DOI":"10.1093\/bjaceaccp\/mkp012"},{"key":"2025082800365202000_2012.nov16_1.bcr-2012-006899.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2005.12.042"},{"key":"2025082800365202000_2012.nov16_1.bcr-2012-006899.12","unstructured":"Morgan GE Mikhail MS Murray MJ . \u00a0Clinical anesthesiology. 3rd edn. 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