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Carbon Monoxide poisoning and Air Embolism following Hysteroscopic Myomectomy: a case report.
Ruiz de Santaquiteria Torres, V; Palomo López, R; Rubio Arroyo, M; Alemán Mahecha, N F; De La Lastra Iglesias, M A; Agurto Rivera, S N; Silva Obregón, J A.
Afiliación
  • Ruiz de Santaquiteria Torres V; Intensive Care Unit, University Hospital of Guadalajara, Spain. Electronic address: valen.rsqt@gmail.com.
  • Palomo López R; Obstetrics and Gynecology department, University Hospital of Guadalajara, Spain.
  • Rubio Arroyo M; Obstetrics and Gynecology department, University Hospital of Guadalajara, Spain.
  • Alemán Mahecha NF; Radiology department, Univeristy Hospital of Guadalajara, Spain.
  • De La Lastra Iglesias MA; Anesthesia department, University Hospital of Guadalajara, Spain.
  • Agurto Rivera SN; Intensive Care Unit, University Hospital of Guadalajara, Spain.
  • Silva Obregón JA; Intensive Care Unit, University Hospital of Guadalajara, Spain; Research Institute Idi-Paz, PBM Group, 28046, Madrid, Spain.
J Gynecol Obstet Hum Reprod ; 51(8): 102431, 2022 Oct.
Article en En | MEDLINE | ID: mdl-35718331
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Intoxicación por Monóxido de Carbono / Embolia Aérea / Miomectomía Uterina Tipo de estudio: Etiology_studies Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: J Gynecol Obstet Hum Reprod Año: 2022 Tipo del documento: Article Pais de publicación: Francia
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Intoxicación por Monóxido de Carbono / Embolia Aérea / Miomectomía Uterina Tipo de estudio: Etiology_studies Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: J Gynecol Obstet Hum Reprod Año: 2022 Tipo del documento: Article Pais de publicación: Francia