title: Otorrhagia and Nosebleed as first signs of Intravascular Absorption Syndrome During Hysteroscopy: From Bench to Bedside.
abstract: Hysteroscopic surgery is indicated for the treatment of several intrauterine diseases. The surgeon needs to be aware of, and know how to prevent, possible complications related to these procedures. In the case of operative hysteroscopy, the systemic effects of low-viscosity fluid uptake must be considered in order to prevent the complications in the patient. We report on two unusual clinical signs of intravascular absorption syndrome (IAS) that developed during an operative hysteroscopy with glycine 1.5% as the fluid of distension. Based on our experience, we recommend that practitioners reduce operating times, monitor fluid balances, check electrolytes and kinetic heart rates, and monitor for symptoms including otorrhagia and nosebleed, in order to identify and possibly prevent IAS due to an overload of low-viscosity fluids.
authors.affiliation: Department of Human Pathology in Adulthood and Childhood "G. Barresi", University of Messina, Messina, Italy.
authors.forename: V
authors.initials: V
authors.lastname: Giacobbe
authors.affiliation: Department of Maternal and Child Health, Gavardo Hospital, Brescia, Italy.
authors.forename: D
authors.initials: D
authors.lastname: Rossetti
authors.affiliation: Department of Human Pathology in Adulthood and Childhood "G. Barresi", University of Messina, Messina, Italy.
authors.forename: S G
authors.initials: SG
authors.lastname: Vitale
authors.affiliation: Department of General Surgery and Medical Surgical Specialties, University of Catania, Italy.
authors.forename: A M C
authors.initials: AM
authors.lastname: Rapisarda
authors.affiliation: Department of Prenatal Diagnosis, Altamedica Fetal Maternal Medical Center, Rome, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Padula
authors.affiliation: Department of Human Pathology in Adulthood and Childhood "G. Barresi", University of Messina, Messina, Italy.
authors.forename: A S
authors.initials: AS
authors.lastname: Laganà
authors.affiliation: Department of Human Pathology in Adulthood and Childhood "G. Barresi", University of Messina, Messina, Italy.
authors.forename: V I
authors.initials: VI
authors.lastname: Palmara
mesh_terms: D000368:Aged; D004844:Epistaxis / Q000209:etiology*; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects*; D013577:Syndrome