Acute pulmonary oedema secondary to intravascular absorption syndrome during hysteroscopy: A case report

F.M. Colás Borrás , C. Subirá Alsina , E. Tria Galera , M.C. de la Torre Terrón , I. Martínez De Lagrán Zurbano
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Abstract

Hysteroscopy is an exploratory endoscopic technique that studies the interior of the uterine cavity and the endocervical canal. Various fluids, such as physiological saline, are used to optimise visualisation of the internal structures during this procedure. A rare complication of hysteroscopy is fluid overload, which can be associated with intravascular absorption syndrome, usually after lengthy procedures or tissue dissection. There are no data on the incidence and prevalence of this syndrome, and few cases involving physiological saline solution have been reported. We present a case of hysteroscopic myomectomy complicated by vascular absorption syndrome, which gave rise to acute pulmonary oedema that required admission to the intensive care unit.

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宫腔镜手术中血管内吸收综合征继发急性肺水肿:病例报告
宫腔镜检查是一种探索性内窥镜技术,用于研究子宫腔内部和宫颈内口。在此过程中,会使用生理盐水等各种液体来优化内部结构的可视化。宫腔镜检查的一个罕见并发症是液体超负荷,这可能与血管内吸收综合征有关,通常发生在冗长的手术或组织解剖之后。目前还没有关于这种综合征的发生率和流行率的数据,涉及生理盐水的病例报道也很少。我们介绍了一例宫腔镜子宫肌瘤切除术并发血管吸收综合征的病例,该病例导致急性肺水肿,需要入住重症监护室。
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