Transurethral resection of prostate syndrome: report of a case

  • Brahim Boukatta
  • Hicham Sbai
  • Ferdaous Messaoudi
  • Zakaria Lafrayiji
  • Abderrahim El Bouazzaoui
  • Nabil Kanjaa

Abstract

We report a case of transurethral resection of prostate (TURP) syndrome. A 78-year-old man with prostatic hypertrophy was scheduled for transurethral resection of the prostate under spinal anesthesia. 30 minutes after the end of the surgery, the patient presented signs of TURP syndrome with bradycardia, arterial hypotension, cyanosis, hypoxemia and coma. The electrolytes analysis revealed an acute hyponatremia (sodium concentration 125 mmol/L). Medical treatment consisted of hypertonic saline solution 3%, volume expansion, intubation and ventilation. The presented case describes a typical TURP syndrome, which was diagnosed and treated early. The patient was discharged from hospital without any complications.

Pan African Medical Journal 2013; 14:14

Author Biographies

Brahim Boukatta
Department of Anesthesia and critical care Medicine, Hassan II University Hospital, Fez, Morocco
Hicham Sbai
Department of Anesthesia and critical care Medicine, Hassan II University Hospital, Fez, Morocco
Ferdaous Messaoudi
Department of Anesthesia and critical care Medicine, Hassan II University Hospital, Fez, Morocco
Zakaria Lafrayiji
Department of Anesthesia and critical care Medicine, Hassan II University Hospital, Fez, Morocco
Abderrahim El Bouazzaoui
Department of Anesthesia and critical care Medicine, Hassan II University Hospital, Fez, Morocco
Nabil Kanjaa
Department of Anesthesia and critical care Medicine, Hassan II University Hospital, Fez, Morocco
Published
2013-04-29
Section
Articles

Journal Identifiers


eISSN: 1937-8688