Sudden death due to intravascular hemolysis after bladder irrigation with distilled water.

  • Bell M
  • 18

    Readers

    Mendeley users who have this article in their library.
  • 5

    Citations

    Citations of this article.

Abstract

A 45-year-old white man was hospitalized with gross hematuria, one month after cystoscopy and biopsy for the same complaint. The biopsy revealed cystitis glandularis. One day after admission, he developed seizures and died within hours. Autopsy, laboratory tests, and further questioning of the hospital staff showed that he died of acute hyponatremia and massive intravascular hemolysis after irrigating the bladder with sterile water. Two deep bladder ulcers with exposed veins served as the portals of entry. Until now, this fatal complication had been described only during transurethral surgery. Both a careful autopsy and hospital investigation is necessary to differentiate in-hospital natural death from iatrogenic fatality.

Author-supplied keywords

  • Death, Sudden
  • Death, Sudden: etiology
  • Humans
  • Irrigation
  • Irrigation: adverse effects
  • Male
  • Middle Aged
  • Urinary Bladder
  • Urinary Bladder: injuries
  • Water
  • Water: administration & dosage
  • Wounds, Penetrating
  • Wounds, Penetrating: etiology

Get free article suggestions today

Mendeley saves you time finding and organizing research

Sign up here
Already have an account ?Sign in

Find this document

  • SGR: 0026754503
  • PUI: 22293677
  • SCOPUS: 2-s2.0-0026754503
  • ISSN: 0022-1198
  • PMID: 1402764

Authors

  • M D Bell

Cite this document

Choose a citation style from the tabs below

Save time finding and organizing research with Mendeley

Sign up for free