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2017 ; 12
(ä): 50-57
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Transurethral Resection of the Prostate, Bladder Explosion and Hyponatremic
Encephalopathy: A Rare Case Report of Malpractice
#MMPMID28435905
Vacchiano G
; Rocca A
; Compagna R
; Zamboli AGI
; Cirillo V
; Di Domenico L
; Di Nardo V
; Servillo G
; Amato B
Open Med (Wars)
2017[Jan]; 12
(ä): 50-57
PMID28435905
show ga
We present an original case report of a bladder explosion during a TURP
intervention for benign prostatic hypertrophy, that was brought on by the
absorption of about 5 liters of glycine 1.5% and then onset of a severe
hyponatremia. The quick and inappropriate correction of this electrolyte
imbalance led the onset of encephalopathy and the death of the patient. The
authors discuss the pathogenesis of these uncommon diseases and, considering the
most recent Italian Legislation, they highlight the importance to respect good
clinical practice standards and guidelines to ensure the most appropriate
treatments for the patient and remove any assumptions of medical liability.