A 49-year-old woman, operated for both lumpectomy for breast cancer, and hysteroscopy for IUD (Mirena) removal and uterine fibroid resection, with a 6ooomL intra uterine isotonic saline infusion, displayed isolated hypocapny with hemodynamic stability after hysteroscopy, and a 4000mL fluid deficit. Her only known cardiovascular risk factor was hypertension, treated with beta blockers. Transthoracic echocardiography (TTE) performed bedside before extubation, with GE Vivid S70N, showed numerous moving gas bubbles in hepatic veins with a subcostal view, and a gas embolism had been suspected. LV and RV functions were normal, and no patent foramen ovale or intracardiac bubbles visualized. After recovery from anesthesia, the patient showed no neurological sign. She was admitted in an intensive care unit for a 2 hour hyperbaric oxygen therapy (2.5ATA), and was allowed to leave the hospital the day after.
Institut de Cancérologie de l'Ouest
Patiente atteinte d'un cancer du sein (operated for both lumpectomy for breast cancer, and hysteroscopy for IUD (Mirena) removal and uterine fibroid resection.).
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