British Journal of Anaesthesia, 2001, Vol. 87, No. 2 316-319
© 2001 The Board of Management and Trustees of the British Journal of Anaesthesia
Case Reports |
Another feature of TURP syndrome: hyperglycaemia and lactic acidosis caused by massive absorption of sorbitol
1Department of Anesthesia and 2Department of Biochemistry, Centre hospitalier affilié universitaire de Québec (Hôpital Enfant-Jésus), Laval University, 1401, 18e Rue, Québec, PQ, G1J 1Z4 Canada*Corresponding author
Endoscopic transurethral resection of the prostate (TURP) can be complicated by absorption of a large volume of irrigation fluid. The clinical features of this complication are referred as the TURP syndrome. We report a case where hyperglycaemia and lactic acidosis complicated the TURP syndrome caused by the massive absorption (approximately 15 litres) of a sorbitol mannitol irrigation solution. The proposed mechanism is a type B lactic acidosis related to the metabolism of sorbitol.
Br J Anaesth 2001; 87: 31619