Carbon dioxide embolism during laparoscopy and hysteroscopy.
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.
Gomar
C
C
Fernandez
C
C
Villalonga
A
A
Nalda
M A
MA
D000328:Adult; D001794:Blood Pressure; D002245:Carbon Dioxide; D004618:Embolism, Air / Q000209:etiology*; D004724:Endoscopy; D005260:Female; D006323:Heart Arrest / Q000209:etiology; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D014599:Uterus; D014684:Venae Cavae
D002245:Carbon Dioxide