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European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Acute hyperglycemia following intraperitoneal irrigation with 5% dextrose in a patient with pseudomyxoma peritonei. A case report
Hee Yong Kang1, Su-Mi Lee2, Seung-Beom Kim2, Jong-Man Kang1,2, *
1 Department of Anesthesiology and Pain Medicine, Graduate School, Kyung Hee University, Seoul, South Korea
2 Department of Anesthesiology and Pain Medicine, Kyung Hee University Hospital at Gangdong, Seoul, South Korea
Eur. J. Gynaecol. Oncol. 2018, 39(4), 676–678; https://doi.org/10.12892/ejgo4148.2018
Published: 10 August 2018
Pseudomyxoma peritonei (PMP) is a mucinous tumor and rare disease. Surgical removal is basic treatment and peritoneal lavage with dextrose in water conducts for removing remnant. A 61-year-old woman was diagnosed PMP and underwent surgery. Despite initial serum glucose was 103 mg/dl, hyperglycemia (serum glucose 359 mg/dl) was detected after intraperitoneal irrigation with dextrose in water. She recovered breath, but mental state was unconscious. She was transferred to post-anesthesia care unit, in state of keeping of intubation. Insulin was infused, and serum glucose was 275 mg/dl. It took more than three hours to recover consciousness. Postoperatively, newly appeared QT interval prolongation and pleural effusion developed. Two weeks later, she was discharged without any sequelae. In conclusion, intraperitoneal dextrose irrigation might be related to intraoperative hyperglycemia, therefore the serum glucose monitoring and proper treatment during and after the intraperitoneal irrigation with dextrose are needed.
Dextrose in water
QT interval prolongation