We describe two cases of altered consciousness associated with nausea
and vomiting after renal surgery. These events occurred respectively o
ne and two hours after surgery. They are believed to be caused by the
transfer of large amounts of irrigating solution containing glycine 1.
5%. The effects of hyponatraemia (132 and 129 mmol . L-1) and glycinae
mia (3518 and 8589 mmol . L-1) are discussed. We conclude on the impor
tance of an early clinical diagnosis completed by biological investiga
tion to allow an adequate symptomatic management.