Lung ultrasound diagnosis of pulmonary edema resulting from excessive fluid absorption during hysteroscopic myomectomy: a case report.
Early diagnosis
Extravascular lung water
Hysteroscopy
Intraoperative complications
Pulmonary edema
Ultrasonography
Journal
BMC anesthesiology
ISSN: 1471-2253
Titre abrégé: BMC Anesthesiol
Pays: England
ID NLM: 100968535
Informations de publication
Date de publication:
17 Sep 2024
17 Sep 2024
Historique:
received:
22
03
2024
accepted:
23
08
2024
medline:
18
9
2024
pubmed:
18
9
2024
entrez:
17
9
2024
Statut:
epublish
Résumé
Hysteroscopic surgery is a safe procedure used for diagnosing and treating intrauterine lesions, with a low rate of intraoperative complications. However, it is important to be cautious as fluid overload can still occur when performing any hysteroscopic surgical technique. In this case report, we present a unique instance where lung ultrasound was utilized to diagnose pulmonary edema in a patient following a hysteroscopic myomectomy procedure. The development of pulmonary edema was attributed to the excessive absorption of fluid during the surgical intervention. By employing lung ultrasound as a diagnostic tool, we were able to promptly identify and address the pulmonary edema. As a result, the patient received timely treatment with no complications. This case highlights the importance of utilizing advanced imaging techniques, such as lung ultrasound, in the perioperative management of patients undergoing hysteroscopic procedures. This case report underscores the significance of early detection and intervention in preventing complications associated with fluid overload during hysteroscopic myomectomy procedures.
Sections du résumé
BACKGROUND
BACKGROUND
Hysteroscopic surgery is a safe procedure used for diagnosing and treating intrauterine lesions, with a low rate of intraoperative complications. However, it is important to be cautious as fluid overload can still occur when performing any hysteroscopic surgical technique.
CASE PRESENTATION
METHODS
In this case report, we present a unique instance where lung ultrasound was utilized to diagnose pulmonary edema in a patient following a hysteroscopic myomectomy procedure. The development of pulmonary edema was attributed to the excessive absorption of fluid during the surgical intervention. By employing lung ultrasound as a diagnostic tool, we were able to promptly identify and address the pulmonary edema. As a result, the patient received timely treatment with no complications. This case highlights the importance of utilizing advanced imaging techniques, such as lung ultrasound, in the perioperative management of patients undergoing hysteroscopic procedures.
CONCLUSIONS
CONCLUSIONS
This case report underscores the significance of early detection and intervention in preventing complications associated with fluid overload during hysteroscopic myomectomy procedures.
Identifiants
pubmed: 39289607
doi: 10.1186/s12871-024-02694-4
pii: 10.1186/s12871-024-02694-4
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
331Subventions
Organisme : Hospital level scientific research project of Chongqing Health Center for Women and Children
ID : 2021YJMS09
Organisme : Hospital level scientific research project of Chongqing Health Center for Women and Children
ID : 2021YJMS09
Organisme : Hospital level scientific research project of Chongqing Health Center for Women and Children
ID : 2021YJMS09
Organisme : Hospital level scientific research project of Chongqing Health Center for Women and Children
ID : 2021YJMS09
Organisme : Hospital level scientific research project of Chongqing Health Center for Women and Children
ID : 2021YJMS09
Organisme : Norman Bethune Public Welfare Foundation Enze Pain Management Medical Research Project
ID : ezmr2023-027
Organisme : Norman Bethune Public Welfare Foundation Enze Pain Management Medical Research Project
ID : ezmr2023-027
Organisme : Norman Bethune Public Welfare Foundation Enze Pain Management Medical Research Project
ID : ezmr2023-027
Organisme : Norman Bethune Public Welfare Foundation Enze Pain Management Medical Research Project
ID : ezmr2023-027
Informations de copyright
© 2024. The Author(s).
Références
Hadisaputra W, Hani CAS, Putri NA. Patient safety in Hysteroscopic Procedure. Gynecol Minim Invasive Ther. 2022;11(3):145–9.
pubmed: 36158287
pmcid: 9491051
doi: 10.4103/gmit.gmit_144_21
Neto Gonçalves T, Galaz Tavares J, Marto N, Diogo C, Messias A. Operative hysteroscopy intravascular absorption syndrome - A life-threatening complication. Eur J Case Rep Intern Med. 2023;10(11):004132.
pubmed: 37920226
pmcid: 10619527
Hahn RG. Fluid absorption in endoscopic surgery. Br J Anaesth. 2006;96(1):8–20.
pubmed: 16317031
doi: 10.1093/bja/aei279
Singh S, Kumar N, Paul D, Sasidharan S. A case of operative hysteroscopy intravascular absorption syndrome: gynaecological TURP syndrome. Indian J Anaesth. 2021;65(2):167–9.
pubmed: 33776098
pmcid: 7983830
doi: 10.4103/ija.IJA_867_20
Aas-Eng MK, Langebrekke A, Hudelist G. Complications in operative hysteroscopy - is prevention possible? Acta Obstet Gynecol Scand. 2017;96:1399–403.
pubmed: 28832907
doi: 10.1111/aogs.13209
Sethi N, Chaturvedi R, Kumar K. Operative hysteroscopy intravascular absorption syndrome: a bolt from the blue. Indian J Anaesth. 2012;56:179–82.
pubmed: 22701213
pmcid: 3371497
doi: 10.4103/0019-5049.96342
Yoo SW, Ki MJ, Oh YJ, Kim T, Nam S, Lee J. Rapid correction of severe hyponatremia and control of subsequent overcorrection in operative hysteroscopy intravascular absorption syndrome: a case report. Med (Baltim). 2022;101(44):e31351.
doi: 10.1097/MD.0000000000031351
Enghard P, Rademacher S, Nee J, Hasper D, Engert U, Jörres A, et al. Simplified lung ultrasound protocol shows excellent prediction of extravascular lung water in ventilated intensive care patients. Crit Care. 2015;19:36.
pubmed: 25656060
pmcid: 4335373
doi: 10.1186/s13054-015-0756-5
Volpicelli G, Elbarbary M, Blaivas M, Lichtenstein DA, Mathis G, Kirkpatrick AW, et al. International Liaison Committee on Lung Ultrasound (ILC-LUS) for International Consensus Conference on Lung Ultrasound (ICC-LUS). International evidence-based recommendations for point-of-care lung ultrasound. Intensive Care Med. 2012;38(4):577 – 91.
Jackson S, Lampe G. Operative hysteroscopy intravascular absorption syndrome. West J Med. 1995;162(1):53–4.
pubmed: 7863660
pmcid: 1022596
Wang MT, Chang CC, Hsieh MH, Chang CW, Fan Chiang YH, Tsai HC. Operative hysteroscopy intravascular absorption syndrome is more than just the gynecological transurethral resection of the prostate syndrome: a case series and literature review. Taiwan J Obstet Gynecol. 2020;59(5):748–53.
pubmed: 32917330
doi: 10.1016/j.tjog.2020.07.022
Elahmedawy H, Snook NJ. Complications of operative hysteroscopy: an anaesthetist’s perspective. BJA Educ. 2021;21:240–2.
pubmed: 34178379
pmcid: 8212159
doi: 10.1016/j.bjae.2021.03.001
Umranikar S, Clark TJ, Saridogan E, Miligkos D, Arambage K, Torbe E, et al. BSGE/ESGE guideline on management of fluid distension media in operative hysteroscopy. Gynecol Surg. 2016;13:289–303.
pubmed: 28003797
pmcid: 5133285
doi: 10.1007/s10397-016-0983-z
Elegante M, Hamera J, Xiao J, Berger D. Operative hysteroscopy intravascular absorption syndrome causing hyponatremia with associated cerebral and pulmonary edema. Clin Pract Cases Emerg Med. 2019;3:252–5.
pubmed: 31404167
pmcid: 6682243
doi: 10.5811/cpcem.2019.4.41878
Kotani Y, D’Andria Ursoleo J, Murru CP, Landoni G. Blood pressure management for hypotensive patients in Intensive Care and Perioperative Cardiovascular settings. J Cardiothorac Vasc Anesth. 2024;10:S1053-0770(24)00266-0.
Caltabeloti F, Monsel A, Arbelot C, Brisson H, Lu Q, Gu WJ, et al. Early fluid loading in acute respiratory distress syndrome with septic shock deteriorates lung aeration without impairing arterial oxygenation: a lung ultrasound observational study. Crit Care. 2014;18(3):R91.
pubmed: 24887155
pmcid: 4055974
doi: 10.1186/cc13859
Agricola E, Bove T, Oppizzi M, Marino G, Zangrillo A, Margonato A, et al. “Ultrasound comet-tail images”: a marker of pulmonary edema: a comparative study with wedge pressure and extravascular lung water. Chest. 2005;127:1690–5.
Baldi G, Gargani L, Abramo A, D’Errico L, Caramella D, Picano E, et al. Lung water assessment by lung ultrasonography in intensive care: a pilot study. Intensive Care Med. 2013;39:74–84.
pubmed: 23052950
doi: 10.1007/s00134-012-2694-x
Santos TM, Franci D, Coutinho CM, Ribeiro DL, Schweller M, Matos-Souza JR, et al. A simplified ultrasound-based edema score to assess lung injury and clinical severity in septic patients. Am J Emerg Med. 2013;31:1656–60.
pubmed: 24119611
doi: 10.1016/j.ajem.2013.08.053
Assaad S, Kratzert WB, Shelley B, Friedman MB, Perrino A Jr. Assessment of Pulmonary Edema: principles and practice. J Cardiothorac Vasc Anesth. 2018;32:901–14.
pubmed: 29174750
doi: 10.1053/j.jvca.2017.08.028
Aydeniz B, Gruber IV, Schauf B, Kurek R, Meyer A, Wallwiener D. A multicenter survey of complications associated with 21,676 operative hysteroscopies. Eur J Obstet Gynecol Reprod Biol. 2002;104:160–4.
pubmed: 12206931
doi: 10.1016/S0301-2115(02)00106-9