ArticleMedical archives (Sarajevo, Bosnia and Herzegovina)2019
Hypernatremia-induced Neurologic Complications After Hepatic Hydatid Cyst Surgery: Pretreat to Prevent.
Article in Medical archives (Sarajevo, Bosnia and Herzegovina), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 14 citations in OpenAlex.
- Delayed hyperergic reaction ensuing puncture drainage of an echinococcal cyst in the left hepatic lobe of a six-year-old boy.Infection · 2026Article
- Laparoscopic procedure versus conventional cystectomy for pediatric hepatic cystic echinococcosis:a controlled clinical study.Langenbeck's archives of surgery · 2025Article
- Case Report: Simultaneous hepatic and renal echinococcosis in a child: a multidisciplinary approach.Frontiers in pediatrics · 2025Article
- Infected primary hydatid cyst of the right lumbar paraspinal muscles: A rare case in a ten-year-old child.International journal of surgery case reports · 2021Article
- Treatment of a giant hepatic echinococcal cyst with percutaneous drainage and in vivo assessment of the protoscolicidal effect of praziquantel.Clinical journal of gastroenterology · 2021Article
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Authors and funding
8 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSurgery is effective treatment for echinococcosis; however, there is a risk of hypertonic saline resorption and acute hypernatremia.
aimWe report two cases of severe hypernatremia following hydatid cyst removal. CASE REPORTS: A 17-year-old girl underwent surgical removal of hepatic hydatid cyst. Following the surgery, she developed seizures evolving to status epilepticus, and was sedated and mechanically ventilated. Blood chemistry showed hypernatremia. Fluid resuscitation with 5% dextrose infusions was started in combination with furosemide. Electrolytes were monitored frequently until plasma sodium levels normalized, 30 hours later. The patient was seizure free 48 hours later. The second patient is a 70-year-old man with hepatic hydatid cyst. After the surgery he became somnolent and confused due to severe hypernatremia. Intravenous administration of five percentage dextrose was initiated and high doses of furosemide. Sodium level normalized within 38 hours. The patient's mental status improved.
conclusionA hospital protocol was established aiming to prevent hypernatremia and neurological complications.
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