Korean J Anesthesiol.  2009 Jul;57(1):117-122. 10.4097/kjae.2009.57.1.117.

Pulmonary edema during hysteroscopic surgery: Three cases report

• Kim KO
• Shin HI
• Lee JH
• Lee Y
• Choi JG
• Yoon DI

• KMID: 1782627
• DOI: http://doi.org/10.4097/kjae.2009.57.1.117

Abstract

Hysteroscopic surgery has become a routine gynecologic procedure. The advantages are associated with more accurate removal of lesion, its short operating time, rapid post-operative recovery and low morbidity. However, there are potentially serious complications which can be occured during and following hysteroscopic surgery. The complications are uterine perforation, fluid overload and electrolyte disturbance due to intravasation and absorption of uterine distention media, hemorrhage and, rarely, gas or air embolism. We experienced pulmonary edema during hysteroscopic surgery in three consecutive patients. Therefore, we report these cases of fluid overload with uterine distention media resulting acute pulmonary edema during hysteroscopic surgery.

Keyword

Hypoxemia; Hysteroscopic surgery; Pulmonary edema

MeSH Terms

Absorption
Anoxia
Embolism, Air
Hemorrhage
Humans
Hysteroscopy
Pulmonary Edema
Uterine Perforation