Abstract
Gitelman syndrome (GS) is an autosomal recessive disorder characterized by hypokalaemia, metabolic alkalosis, hypomagnesemia, and hypocalciuria. Little research has been done on the association between GS and hemodynamic abnormalities. In the present case report, a 58-year-old female patient developed refractory vasodilatory shock after undergoing lumbar spine surgery and died after resuscitation, which was considered to be related to hemodynamic instability complicated by GS.