Hypernatraemia after hypertonic saline irrigation of a hepatitic hydatid cyst is a rare but serious complication. Neurological symptoms and signs are frequently seen in hypernatraemia. However, other symptoms, such as fever, acute pulmonary oedema, congestive cardiac failure and muscular alterations, may appear. It has recently been suggested that hypernatraemia increases the risk of thrombosis.We present the first report of an adult patient who survived a severe acute iatrogenic hypernatraemia and hyper-coagulability resulting from hypertonic saline irrigation of intra-abdominal hydatid cysts.
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