Carbon dioxide embolism during laparoscopy and hysteroscopy |
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Authors: | C Gomar C Fernandez A Villalonga M A Nalda |
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Institution: | Department of Anaesthesiology, Clinical and Provincial Hospital, Faculty of Medicine, The University of Barcelona, Casanovas 143, 08036 Barcelona, Spain |
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Abstract: | Venous carbon dioxide embolism is a rare but potentially lethal complication of laparoscopy. The risk is increased when it is associated with hysteroscopy. A case is presented of a young women undergoing laparoscopy and hysteroscopy for infertility. Cardiovascular collapse and cardiac arrest, associated with a mill-wheel murmur, occurred during hysteroscopy at the time of a change of position. The patient had irreversible brain damage and died a week later. Early diagnosis and prevention of this serious complication are discussed. |
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