{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,10]],"date-time":"2026-05-10T19:53:47Z","timestamp":1778442827190,"version":"3.51.4"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,3,12]],"date-time":"2020-03-12T00:00:00Z","timestamp":1583971200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,3,12]],"date-time":"2020-03-12T00:00:00Z","timestamp":1583971200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Women's Health"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>Acute water intoxication after hysteroscopy is a rare, life-threatening condition, often accompanied with delayed diagnosis owing to masked symptoms because of general anesthesia.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Case presentation<\/jats:title>\n<jats:p>Herein we presented a 39-year-old female who presented with cardiac arrest after hysteroscopic myomectomy because of acute water intoxication and survived after extracorporeal membrane oxygenation, continuous venous\u2013venous hemofiltration, and aggressive high sodium fluid resuscitation.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Failure to recognize and treat this condition appropriately may lead to potentially lethal cardiopulmonary complications.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s12905-020-0895-y","type":"journal-article","created":{"date-parts":[[2020,3,12]],"date-time":"2020-03-12T20:02:45Z","timestamp":1584043365000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Life-threatening acute water intoxication in a woman undergoing hysteroscopic myomectomy: a case report and review of the literature"],"prefix":"10.1186","volume":"20","author":[{"given":"Chen-Yi","family":"Liao","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chang-Han","family":"Lo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mu-Xian","family":"Yu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei-Hung","family":"Chan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kuang-yu","family":"Wei","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min-Feng","family":"Tseng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chia-Chao","family":"Wu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,3,12]]},"reference":[{"key":"895_CR1","doi-asserted-by":"publisher","first-page":"119.e3","DOI":"10.1016\/j.ajem.2015.05.055","volume":"34","author":"LI Losonczy","year":"2016","unstructured":"Losonczy LI, Lovallo E, Schnorr CD, Mantuani D. Drinking to near death--acute water intoxication leading to neurogenicstunned myocardium. Am J Emerg Med. 2016;34:119.e3\u20134.","journal-title":"Am J Emerg Med"},{"key":"895_CR2","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1016\/S0301-2115(02)00106-9","volume":"104","author":"B Aydeniz","year":"2002","unstructured":"Aydeniz B, Gruber IV, Schauf B, Kurek R, Meyer A, Wallwiener D. A multicenter survey of complications associated with 21,676 operative hysteroscopies. Eur J Obstet Gynecol Reprod Biol. 2002;104:160\u20134.","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"895_CR3","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1007\/s10397-016-0983-z","volume":"13","author":"S Umranikar","year":"2016","unstructured":"Umranikar S, Clark TJ, Saridogan E, Miligkos D, Arambage K, Torbe E, et al. British Society for Gynaecological Endoscopy \/European Society for Gynaecological Endoscopy Guideline Development Group for Management of Fluid Distension Media in Operative Hysteroscopy BSGE\/ESGE guideline on management of fluid distension media in operativehysteroscopy. Gynecol Surg. 2016;13:289\u2013303.","journal-title":"Gynecol Surg"},{"key":"895_CR4","doi-asserted-by":"publisher","first-page":"2486","DOI":"10.1093\/ndt\/gfg394","volume":"18","author":"ML Moritz","year":"2003","unstructured":"Moritz ML, Ayus JC. The pathophysiology and treatment of hyponatraemic encephalopathy: an update. Nephrol Dial Transplant. 2003;18:2486\u201391.","journal-title":"Nephrol Dial Transplant"},{"key":"895_CR5","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1016\/S1074-3804(98)80076-5","volume":"5","author":"O Taskin","year":"1998","unstructured":"Taskin O, Buhur A, Birincioglu M, Burak F, Atmaca R, Yilmaz I, et al. Endometrial Na+, K+\u2212ATPase pump function and vasopressin levels during hysteroscopic surgery in patients pretreated with GnRH agonist. J Am Assoc Gynecol Laparosc. 1998;5:119\u201324.","journal-title":"J Am Assoc Gynecol Laparosc"},{"issue":"2","key":"895_CR6","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1016\/j.jmig.2012.12.002","volume":"20","author":"MG Munro","year":"2013","unstructured":"AAGL Advancing Minimally Invasive Gynecology Worldwide, Munro MG, Storz K, Abbott JA, Falcone T, Jacobs VR, Muzii L, Tulandi T, Indman P, Istre O, Jacobs VR, Loffer FD, Nezhat CH, Tulandi T. AAGL practice report: practice guidelines for the Management of Hysteroscopic DistendingMedia: (replaces Hysteroscopic fluid monitoring guidelines. J Am Assoc Gynecol Laparosc. 2000;7:167-168). J Minim Invasive Gynecol. 2013;20(2):137\u201348. https:\/\/doi.org\/10.1016\/j.jmig.2012.12.002.","journal-title":"J Minim Invasive Gynecol"},{"key":"895_CR7","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1016\/j.jmig.2007.03.007","volume":"14","author":"CH Nezhat","year":"2007","unstructured":"Nezhat CH, Fisher DT, Datta S. Investigation of often-reported ten percent hysteroscopy fluid overfill: is this accurate? J Minim Invasive Gynecol. 2007;14:489\u201393.","journal-title":"J Minim Invasive Gynecol"},{"key":"895_CR8","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1053\/j.ajkd.2014.01.451","volume":"64","author":"L Yessayan","year":"2014","unstructured":"Yessayan L, Yee J, Frinak S, Szamosfalvi B. Treatment of severe Hyponatremia in patients with kidney failure: role of continuous Venovenous hemofiltration with low-sodium replacement fluid. Am J Kidney Dis. 2014;64:305\u201310.","journal-title":"Am J Kidney Dis"},{"key":"895_CR9","doi-asserted-by":"publisher","first-page":"176","DOI":"10.1177\/039139880703000213","volume":"30","author":"DX Ji","year":"2007","unstructured":"Ji DX, Gong DH, Xu B, Tao J, Ren B, Zhang YD, et al. Continuous veno-venous hemofiltration in the treatment of acute severe hyponatremia: a report of 11 cases. Int J Artif Organs. 2007;30:176\u201380.","journal-title":"Int J Artif Organs"},{"key":"895_CR10","doi-asserted-by":"publisher","first-page":"1805","DOI":"10.1007\/s11255-012-0291-0","volume":"45","author":"M Yaprak","year":"2013","unstructured":"Yaprak M, Turan MN, Tamer AF, Peker N, Demirci MS, \u00c7\u0131rpan T, et al. How quickly can acute symptomatic hyponatremia be corrected? Int Urol Nephrol. 2013;45:1805\u20138.","journal-title":"Int Urol Nephrol"}],"container-title":["BMC Women's Health"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12905-020-0895-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s12905-020-0895-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12905-020-0895-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,3,12]],"date-time":"2021-03-12T00:07:59Z","timestamp":1615507679000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcwomenshealth.biomedcentral.com\/articles\/10.1186\/s12905-020-0895-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,12]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["895"],"URL":"https:\/\/doi.org\/10.1186\/s12905-020-0895-y","relation":{},"ISSN":["1472-6874"],"issn-type":[{"value":"1472-6874","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3,12]]},"assertion":[{"value":"3 September 2018","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 January 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 March 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This study was exempted from institutional review board approval because it was a case review and secondary analysis.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this Case report and any accompanying images. A copy of the written consent is available for.review by the Editor of this journal.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"52"}}