article information

Anesthesiology and Pain Medicine: Vol.9, issue 3; e90285
published online: April 23, 2019
article type: Case Report
received: February 4, 2019
revised: March 10, 2019
accepted: March 11, 2019
DOI: https://doi.org/10.5812/aapm.90285
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This article has been retracted. See Retraction Note: Operative Hysteroscopy Intravascular Absorption Syndrome: The Gynaecology’s TURP Syndrome-A Case Report.
This article has been corrected. See Corrigendum to: Operative Hysteroscopy Intravascular Absorption Syndrome: The Gynaecology’s TURP Syndrome-A Case Report.
This article has been retracted. See Retraction Note: Operative Hysteroscopy Intravascular Absorption Syndrome: The Gynaecology’s TURP Syndrome-A Case Report.
This article has been retracted. See Retraction Note: Operative Hysteroscopy Intravascular Absorption Syndrome: The Gynaecology’s TURP Syndrome-A Case Report.
This article has been retracted. See Retraction Note: Operative Hysteroscopy Intravascular Absorption Syndrome: The Gynaecology’s TURP Syndrome-A Case Report.
This article has been retracted. See Retraction Note: Operative Hysteroscopy Intravascular Absorption Syndrome: The Gynaecology’s TURP Syndrome-A Case Report.
This article has been corrected. See Corrigendum to: Operative Hysteroscopy Intravascular Absorption Syndrome: The Gynaecology’s TURP Syndrome-A Case Report.
This article has been corrected. See Corrigendum to: Operative Hysteroscopy Intravascular Absorption Syndrome: The Gynaecology’s TURP Syndrome-A Case Report.
This article has been corrected. See Corrigendum to: Operative Hysteroscopy Intravascular Absorption Syndrome: The Gynaecology’s TURP Syndrome-A Case Report.
This article has been corrected. See Corrigendum to: Operative Hysteroscopy Intravascular Absorption Syndrome: The Gynaecology’s TURP Syndrome-A Case Report.
This article has been corrected. See Corrigendum to: Operative Hysteroscopy Intravascular Absorption Syndrome: The Gynaecology’s TURP Syndrome-A Case Report.

Retracted Article: Operative Hysteroscopy Intravascular Absorption Syndrome: The Gynaecology's TURP Syndrome-A Case Report

authors:

avatar Ana Margarida Silva Santos 1 , * , avatar Daniela Coelho 2

Anaesthesiology Department, Matosinhos Local Health Unit, Matosinhos, Portugal
Intensive Care and Emergency Department, Matosinhos Local Health Unit, Matosinhos, Portugal

how to cite: Silva Santos A M, Coelho D. Retracted Article: Operative Hysteroscopy Intravascular Absorption Syndrome: The Gynaecology's TURP Syndrome-A Case Report. Anesth Pain Med. 2019;9(3):e90285. https://doi.org/10.5812/aapm.90285.

Abstract

Introduction:

Operative hysteroscopy intravascular absorption (OHIA) syndrome is caused by intravascular absorption of fluid distension/irrigation medium during hysteroscopy. There are very few reported cases of this syndrome using saline as irrigation fluid. The current report was on a case of severe OHIA syndrome that necessitated resuscitation in an intensive care unit (ICU).

Case Presentation:

A 41-year-old, 65-kg, smoker female patient was admitted for an endoscopic resection of submucous uterine myoma under general anesthesia using a laryngeal mask airway. In the 50th minute of the procedure, end-tidal CO2 dropped from 35 to 25 mmHg and pulse oximetry (SpO2) from 100% to 90%. Crackling sounds were heard from the base of the lungs. As a pulmonary oedema was suspected, the volume of irrigated saline was checked. A total of 4000 of the total 9000 mL of the saline had been absorbed into intravascular compartment. She developed a severe metabolic acidosis (pH 7.09) with severe hypokalemia (K+ 2.3 mEq/L), hypocalcaemia (Ca2+ 0.76 mEq/L), anemia (hemoglobin 5.3 g/dL), and hypothermia (tympanic temperature 33°C), as well as a generalized oedema with pulmonary and airway oedema. Due to airway oedema, she could only be intubated with a 6.5-mm tracheal tube. Resuscitation in the ICU was required. Electrolyte disturbances were corrected and furosemide was administered. She had a full recovery after 24 hours and 48 hours later, she was discharged.

Conclusions:

Absorption of the irrigation fluid can result in life-threatening fluid overload. Accurate fluid balancing and limiting the operation time may prevent such complications. Therefore, early diagnosis and treatment of this syndrome is emphasized.

This article is retracted by EIC or Authors request.