Acute pulmonary edema secondary to intravascular absorption syndrome during hysteroscopy: A case report

Hysteroscopy is an exploratory endoscopic technique that studies the interior of the uterine cavity and the endocervical canal. Various fluids, such as physiological saline, are used to optimise visualisation of the internal structures during this procedure. A rare complication of hysteroscopy is fluid overload, which can be associated with intravascular absorption syndrome, usually after lengthy procedures or tissue dissection. There are no data on the incidence and prevalence of this syndrome, and few cases involving physiological saline solution have been reported. We present a case of hysteroscopic myomectomy complicated by vascular absorption syndrome, which gave rise to acute pulmonary oedema that required admission to the intensive care unit. (c) 2023 Sociedad Espanola de Anestesiologi'a, Reanimacion y Terap'eutica del Dolor. Published by Elsevier Espana, S.L.U. All rights reserved.