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Atypical signs of glycine absorption following transurethral resection of the prostate: Two case reports

Published online by Cambridge University Press:  16 August 2006

P. Tauzin-Fin ,
Y. Guenard  and
P. Maurette
P. Tauzin-Fin
Affiliation:
Departement d'Anésthésie-Réanimation III, Hôpital Pellegrin-Tondu, 5, place Amélie Raba-Léon, 33076 Bordeaux Cedex, France
Y. Guenard
Affiliation:
Departement d'Anésthésie-Réanimation III, Hôpital Pellegrin-Tondu, 5, place Amélie Raba-Léon, 33076 Bordeaux Cedex, France
P. Maurette
Affiliation:
Departement d'Anésthésie-Réanimation III, Hôpital Pellegrin-Tondu, 5, place Amélie Raba-Léon, 33076 Bordeaux Cedex, France
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Abstract

Two cases of atypical transurethral resection (TUR) syndrome occurring during the post-operative course are reported. Atypical clinical events such as confusion, drowsiness and sudden hypotension could not be explained by the amount of glycine fluid absorption, because in both cases this was less than 1000 mL. However, high serum concentrations of glycine were noted without marked hyponatraemia and with normal measured osmolalities. We suggest that the absorption of glycine is related to its high lipid solubility rather than to its direct passage through an evident prostatic effraction or periprostatic extravasation.

Keywords

transurethral resection of the prostateglycine toxicityirrigating fluid absorptionhyponatraemia
Type
Case Report
Information
European Journal of Anaesthesiology , Volume 14 , Issue 4 , July 1997 , pp. 471 - 474
Copyright
1997 European Society of Anaesthesiology

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