Syndrome of inappropriate antidiuretic hormone secretion after functional endoscopic sinus surgery

J Surg Case Rep. 2022 Jan 20;2022(1):rjab603. doi: 10.1093/jscr/rjab603. eCollection 2022 Jan.

Abstract

Functional endoscopic sinus surgery (FESS) is effective in cases of sinusitis where pharmacological treatment has not been successful. Patients undergoing FESS have reported an 85% improvement in symptoms as measured by the quality of life scores. Despite its convincing therapeutic benefit, complications sometimes occur with potentially dire consequences. We report the case of a 69-year-old patient who underwent FESS for recurrent frontal sinusitis and developed a syndrome of inappropriate antidiuretic hormone secretion (SIADH) on Day 3 post-operatively. To our knowledge, this is the first documented case of SIADH arising after an endoscopic intervention for frontal sinusitis.

Publication types

  • Case Reports