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Fatal hypernatraemia after hypertonic Saline irrigation of hepatic hydatid cysts

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Abstract

A 7-year-old boy with hepatic hydatid cysts developed fatal hypernatraemia after surgery for cyst removal where 20% hypertonic saline (HS) was used as a scolicidal agent. Symptoms of generalised seizures, tachycardia, and hypotension developed within 6 h of surgery. Serum electrolytes confirmed hypernatraemia (170 mmol/l) and hyperchloraemia (141 mmol/l). Despite attempts at resuscitation, he died 20 h later. The literature is reviewed, emphasising the potential dangers of the use of HS and the clinical presentation and appropriate management of hypernatraemia.

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Authors and Affiliations

  1. Department of Paediatric Surgery, The MRC Liver Research Center, University of Cape Town, Observatory, Cape Town, South Africa, South Africa

    A. J. W. Millar & H. Rode

  2. Department of Forensic Pathology, University of Cape Town, Observatory, Cape Town, South Africa, South Africa

    D. Knobel

  3. Department of Surgery, University of Cape Town, Medical School, Observatory 7925, Cape Town, South Africa, South Africa

    J. E. J. Krige

Authors
  1. J. E. J. Krige
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  2. A. J. W. Millar
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  3. H. Rode
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  4. D. Knobel
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Accepted: 15 February 2001

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Krige, J., Millar, A., Rode, H. et al. Fatal hypernatraemia after hypertonic Saline irrigation of hepatic hydatid cysts. Pediatr Surg Int 18, 64–65 (2002). https://doi.org/10.1007/s003830200015

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  • DOI: https://doi.org/10.1007/s003830200015

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