Carbon Monoxide poisoning and Air Embolism following Hysteroscopic Myomectomy: a case report. - 15/09/22
, R. Palomo López b, M. Rubio Arroyo b, 1, N.F. Alemán Mahecha c, M.A. De La Lastra Iglesias d, S.N. Agurto Rivera a, J.A. Silva Obregón a, e, 1HIGHLIGHTS |
• | Uterine myomas are the most common benign uterine tumors and a frequent etiology of infertility. |
• | Hysteroscopic myomectomy has grown as a standard minimally invasive surgical procedure. |
• | Carbon monoxide poisoning during hysteroscopic resection is a rare but potentially fatal complication. |
• | Carbon monoxide poisoning and air gas embolism should be suspected if the patient demonstrates clinical signs of hypoperfusion, hypotension, acute myocardial ischemia or neurological focal disorders. |
Abstract |
Introduction |
Uterine myomas are the most common benign uterine tumors. Hysteroscopic myomectomy has grown as a standard minimally invasive surgical procedure, but this technique is not free from complications.
Case |
An hysteroscopic myomectomy was performed on a 38 years-old woman. During the awakening after the procedure, she presented focal neurological deficits, thus arterial blood gas test and total body computerized tomography (CT) scan were urgently carried out. They revealed a very high carboxyhemoglobin level and abdominal venous air embolism. The patient stayed in Trendelenburg position and under mechanical ventilation with 100% oxygen concentration. Fortunately, a few hours later she was fully awake and was able to be successfully extubated, being discharged to the surgical ward three days later fully recovered.
Conclusion |
Carbon monoxide poisoning during hysteroscopic resection is a rare but potentially fatal complication that anesthetists, gynecologists, and critical care physicians should be aware of.
Le texte complet de cet article est disponible en PDF.Keywords : Carbon monoxide poisoning, Air embolism, Hysteroscopic myomectomy, Infertility
Plan
Vol 51 - N° 8
Article 102431- octobre 2022 Retour au numéro
Article précédent
- Reproductive and ICSI outcomes after hysteroscopic metroplasty for T-shaped uterus, a prospective follow up study
- Ferruh Acet, Gulnaz Sahin, Ege Nazan Tavmergen Goker, Erol Tavmergen
- Limb ischaemia at birth in a new-born whose mother tested positive for COVID-19 one month before delivery
- Léa Fantino, Carole Anne Pisa, Michael Tsapis, Anne Claude Riera, Charlotte Jaloux, Radia Fritih, Edwin Quarello
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?