Korean Journal of Nephrology 2011;30(4):414-418.
Transurethral Rescetion Syndrome after Transurethral Resection of Bladder Tumor in 2 Patients on Maintenance Hemodialysis
Eun Ho Jeong, M.D.1, Eun Na Kim, M.D.1, Hee Bae Wang, M.D.1, Tae Ho Kim, M.D.1, Jeong Suk Park, M.D.1, Tae Hyung Kim, M.D.1, Jin Ou Kim, M.D.1, Sang Yeol Suh, M.D.1 and Won Sub Seong, M.D.2
Department of Internal Medicine1
Seoul Red Cross Hospital, Seoul Korea; Department of Urology2
Seoul Red Cross Hospital, Seoul Korea
증례 : 혈액투석 환자에서 경요도방광종양절제술 후 발생한 경요도절제후 증후군 2예
정은호1, 김은나1, 왕희배1, 김태호1, 박정석1, 김태형1, 김진우1, 서상렬1, 성원섭2
서울적십자병원 내과1 , 비뇨기과2
Abstract
Transurethral resection syndrome (TURS) is one of the complications of endoscopic transurethral operation with irrigation fluid. TURS comprehensively refer to several clinical symptoms and signs caused by intravascular absorbtion of irrigation fluid, hypertension, bradycardia, arrhythmia, respiratory distress, hypotension, confusion, blindness, seizure, coma, hyponatremia, and hypoosmolarity. TURS is mainly known as the complication of the transurethral resection of prostate (TURP), and rarely found in the procedures such as transurethral resection of bladder tumor (TUR-BT), hysteroscopy, cystoscopy, and arthroscopy. Only a few cases of TURS after TUR-BT have been reported. The patients on maintenance hemodialysis were restricted in the amount of water intake for volume control. They were susceptible to the absorption of irrigation fluid during TUR-BT since they had anuria. We hereby report the 2 cases maintenance hemodialysis patients who were led to TURS after TUR-BT.
Key Words: Chronic renal failure, Renal dialysis, Urinary bladder neoplasm, Transurethral resection of prostate


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