SIADH, a Rare Complication Postcarotid Endarterectomy – Case Report and Review of Literature
Severe hyponatremia, postcarotid endarterectomy (CEA) is a rare phenomenon. Several physiological conditions lead to hyponatremia post-CEA. We describe the case of an 83-year-old hypertensive who developed severe hyponatremia after right CEA for symptomatic carotid artery stenosis. He developed symp...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Indian Journal of Vascular and Endovascular Surgery |
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| Online Access: | https://journals.lww.com/10.4103/ijves.ijves_38_24 |
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| author | Kovidh Chittibomma Jithin Jagan Sebastian Sairam Subramanian |
| author_facet | Kovidh Chittibomma Jithin Jagan Sebastian Sairam Subramanian |
| author_sort | Kovidh Chittibomma |
| collection | DOAJ |
| description | Severe hyponatremia, postcarotid endarterectomy (CEA) is a rare phenomenon. Several physiological conditions lead to hyponatremia post-CEA. We describe the case of an 83-year-old hypertensive who developed severe hyponatremia after right CEA for symptomatic carotid artery stenosis. He developed symptoms of severe hyponatremia on postoperative day 4, before discharge, with a serum sodium level of 112 mmol/L. He was investigated and found to have diuretic-induced hyponatremia alongside syndrome of inappropriate antidiuretic hormone secretion. The symptoms were recognized early, and both causes were treated, leading to improvements in sodium levels and preventing further deterioration. The patient was discharged on an ADH receptor antagonist with no recurrence of symptoms during follow-up. There have been four similar cases reported in the literature, which have been reviewed in comparison to the present case. Severe hyponatremia post-CEA presents after 24 h of surgery, and awareness helps early diagnoses and prevents hyponatremia-related readmission and patient morbidity. |
| format | Article |
| id | doaj-art-1b5f5edf5a7d4c59bcebfd42f1078530 |
| institution | Kabale University |
| issn | 0972-0820 2394-0999 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Vascular and Endovascular Surgery |
| spelling | doaj-art-1b5f5edf5a7d4c59bcebfd42f10785302025-01-10T10:36:21ZengWolters Kluwer Medknow PublicationsIndian Journal of Vascular and Endovascular Surgery0972-08202394-09992024-12-0111427427810.4103/ijves.ijves_38_24SIADH, a Rare Complication Postcarotid Endarterectomy – Case Report and Review of LiteratureKovidh ChittibommaJithin Jagan SebastianSairam SubramanianSevere hyponatremia, postcarotid endarterectomy (CEA) is a rare phenomenon. Several physiological conditions lead to hyponatremia post-CEA. We describe the case of an 83-year-old hypertensive who developed severe hyponatremia after right CEA for symptomatic carotid artery stenosis. He developed symptoms of severe hyponatremia on postoperative day 4, before discharge, with a serum sodium level of 112 mmol/L. He was investigated and found to have diuretic-induced hyponatremia alongside syndrome of inappropriate antidiuretic hormone secretion. The symptoms were recognized early, and both causes were treated, leading to improvements in sodium levels and preventing further deterioration. The patient was discharged on an ADH receptor antagonist with no recurrence of symptoms during follow-up. There have been four similar cases reported in the literature, which have been reviewed in comparison to the present case. Severe hyponatremia post-CEA presents after 24 h of surgery, and awareness helps early diagnoses and prevents hyponatremia-related readmission and patient morbidity.https://journals.lww.com/10.4103/ijves.ijves_38_24carotid artery stenosiscarotid endarterectomydiuretic-induced hyponatremiahyponatremiasiadh |
| spellingShingle | Kovidh Chittibomma Jithin Jagan Sebastian Sairam Subramanian SIADH, a Rare Complication Postcarotid Endarterectomy – Case Report and Review of Literature Indian Journal of Vascular and Endovascular Surgery carotid artery stenosis carotid endarterectomy diuretic-induced hyponatremia hyponatremia siadh |
| title | SIADH, a Rare Complication Postcarotid Endarterectomy – Case Report and Review of Literature |
| title_full | SIADH, a Rare Complication Postcarotid Endarterectomy – Case Report and Review of Literature |
| title_fullStr | SIADH, a Rare Complication Postcarotid Endarterectomy – Case Report and Review of Literature |
| title_full_unstemmed | SIADH, a Rare Complication Postcarotid Endarterectomy – Case Report and Review of Literature |
| title_short | SIADH, a Rare Complication Postcarotid Endarterectomy – Case Report and Review of Literature |
| title_sort | siadh a rare complication postcarotid endarterectomy case report and review of literature |
| topic | carotid artery stenosis carotid endarterectomy diuretic-induced hyponatremia hyponatremia siadh |
| url | https://journals.lww.com/10.4103/ijves.ijves_38_24 |
| work_keys_str_mv | AT kovidhchittibomma siadhararecomplicationpostcarotidendarterectomycasereportandreviewofliterature AT jithinjagansebastian siadhararecomplicationpostcarotidendarterectomycasereportandreviewofliterature AT sairamsubramanian siadhararecomplicationpostcarotidendarterectomycasereportandreviewofliterature |