Sizable retrograde transtubal leakage of saline during bipolar hysteroscopic myomectomy: A potential cause of hypoxia
Year: 2025
Type: article
Study design: Case Report
Abstract: This case report discusses a bipolar hysteroscopic myomectomy procedure for a type II FIGO submucous myoma using 0.9% saline as a distension medium. Following the successful excision of the myoma, a significant decrease in oxygen saturation was observed, confirmed by blood gas analysis, urgent X-ray, and echocardiography. Despite the absence of acidosis or pulmonary edema, emergency abdominal ultrasonography revealed a large volume of intraperitoneal fluid. Approximately one liter of intraperitoneal saline was drained during an emergency laparoscopic intervention, leading to a notable improvement in the patient's hypoxia. This case highlights the importance of considering retrograde transtubal leakage of saline as a potential cause of intraoperative hypoxia, particularly in patients undergoing advanced hysteroscopic procedures with suspected patent fallopian tubes.
Source: Journal of Surgery and Medicine
DOI: 10.28982/josam.8078
Authors: Atef Darwish, Leyla Zubeydi, Dina Darwish, Vefa Dervis, Fathi F Mohamed, Mohamed L ElKhatib
Institutions: Assiut University, Al Emadi Hospital
Language: English
Subfield: Obstetrics and Gynecology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4410330237