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Inicio Revista Española de Anestesiología y Reanimación (English Edition) Acute pulmonary oedema secondary to intravascular absorption syndrome during hys...
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Vol. 71. Issue 3.
Pages 261-265 (March 2024)
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Vol. 71. Issue 3.
Pages 261-265 (March 2024)
Case report
Acute pulmonary oedema secondary to intravascular absorption syndrome during hysteroscopy: A case report
Edema agudo de pulmón secundario a síndrome de absorción intravascular durante histeroscopia: a propósito de un caso
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F.M. Colás Borrása,
Corresponding author
fcolas@csdm.cat

Corresponding author.
, C. Subirá Alsinaa, E. Tria Galeraa, M.C. de la Torre Terrónb, I. Martínez De Lagrán Zurbanob
a Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, CSDM, Hospital de Mataró, Mataró, Barcelona, Spain
b Servicio de Medicina Intensiva, CSDM, Hospital de Mataró, Mataró, Barcelona, Spain
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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.

Keywords:
Hysteroscopy
Oedema
Lung
Absorption
Intravascular
Serum
Resumen

La histeroscopia es un procedimiento endoscópico que estudia el interior de la cavidad uterina y del canal endocervical con objetivo diagnóstico-terapéutico. Para obtener una visualización óptima de las estructuras se utilizan diversos fluidos como el suero salino fisiológico. Una complicación poco frecuente es la sobredosificación de volumen, lo cual puede asociarse a un síndrome de absorción intravascular tras histeroscopia, normalmente tras procedimientos largos o disección de tejidos. Respecto a este síndrome, no se disponen datos de incidencia y prevalencia, existiendo pocos casos reportados en relación a solución salina fisiológica. Se presenta el caso de una paciente sometida a resección miomatosa, que, como consecuencia del síndrome de absorción vascular, dio lugar a edema agudo de pulmón que requirió ingreso en la unidad de cuidados intensivos.

Palabras clave:
Histeroscopia
Edema
Pulmón
Absorción
Intravascular
Suero

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