Another feature of TURP syndrome: hyperglycaemia and lactic acidosis caused by massive absorption of sorbitol

Authors
Trepanier, CA Lessard, MR Brochu, J Turcotte, G
Citation
Ca. Trepanier et al., Another feature of TURP syndrome: hyperglycaemia and lactic acidosis caused by massive absorption of sorbitol, BR J ANAEST, 87(2), 2001, pp. 316-319
Citations number
12
Categorie Soggetti
Aneshtesia & Intensive Care","Medical Research Diagnosis & Treatment
Journal title
BRITISH JOURNAL OF ANAESTHESIA
ISSN journal
00070912 → ACNP
Volume
87
Issue
2
Year of publication
2001
Pages
316 - 319
Database
ISI
SICI code
0007-0912(200108)87:2<316:AFOTSH>2.0.ZU;2-7
Abstract
Endoscopic transurethral resection of the prostate (TURP) can be complicate d by absorption of a large volume of irrigation fluid. The clinical feature s of this complication are referred as the TURP syndrome. We report a case where hyperglycaemia and lactic acidosis complicated the TURP syndrome caus ed by the massive absorption (approximately 15 litres) of a sorbitol-mannit ol irrigation solution. The proposed mechanism is a type B lactic acidosis related to the metabolism of sorbitol.