Lung ultrasound diagnosis of pulmonary edema resulting from excessive fluid absorption during hysteroscopic myomectomy: a case report

• Published in: BMC anesthesiology Vol. 24; no. 1; pp. 331 - 6
• Main Authors: Dai, Heng, Gan, Lin, Li, Jing, Yu, Jin, Lei, Xiaofeng
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 17.09.2024; BioMed Central; BMC
• Subjects: Adult; Airway management; Blood pressure; Case Report; Case reports; Diagnosis; Diagnostic imaging; Early diagnosis; Edema; Electrocardiography; Electrolytes; Extravascular lung water; Female; General anesthesia; Heart failure; Heart rate; Hemodynamics; Humans; Hypertension; Hyponatremia; Hysteroscopy; Hysteroscopy - methods; Intraoperative complications; Intraoperative Complications - diagnostic imaging; Intraoperative Complications - etiology; Lung - diagnostic imaging; Lungs; Patients; Potassium; Pulmonary edema; Pulmonary Edema - diagnostic imaging; Pulmonary Edema - etiology; Remifentanil; Surgery; Ultrasonic imaging; Ultrasonography; Ultrasonography - methods; Ultrasound; Ultrasound imaging; Uterine Myomectomy - adverse effects; Uterine Myomectomy - methods; Uterine Neoplasms - surgery; Uterus; Extravascular lung water; Hysteroscopy; Early diagnosis; Intraoperative complications; Pulmonary edema; Ultrasonography
• ISSN: 1471-2253; 1471-2253
• DOI: 10.1186/s12871-024-02694-4

Hysteroscopic surgery is a safe procedure used for diagnosing and treating intrauterine lesions, with a low rate of intraoperative complications. However, it is important to be cautious as fluid overload can still occur when performing any hysteroscopic surgical technique. In this case report, we present a unique instance where lung ultrasound was utilized to diagnose pulmonary edema in a patient following a hysteroscopic myomectomy procedure. The development of pulmonary edema was attributed to the excessive absorption of fluid during the surgical intervention. By employing lung ultrasound as a diagnostic tool, we were able to promptly identify and address the pulmonary edema. As a result, the patient received timely treatment with no complications. This case highlights the importance of utilizing advanced imaging techniques, such as lung ultrasound, in the perioperative management of patients undergoing hysteroscopic procedures. This case report underscores the significance of early detection and intervention in preventing complications associated with fluid overload during hysteroscopic myomectomy procedures.