KUMJ | VOL. 14 | NO. 1 | ISSUE 53 | JAN-MAR, 2016
Otorrhagia and Nosebleed as first signs of Intravascular Absorption Syndrome During Hysteroscopy: From Bench to Bedside.
Giacobbe V, Rossetti D, Vitale SG, Rapisarda AMC, Padula F, Laganą AS, PalmaraVI
Abstract: Hysteroscopic surgery is indicated for the treatment of several intrauterine
diseases. The surgeon needs to be aware of, and know how to prevent, possible
complications related to these procedures. In the case of operative hysteroscopy,
the systemic effects of low-viscosity fluid uptake must be considered in order to
prevent the complications in the patient. We report on two unusual clinical signs
of intravascular absorption syndrome (IAS) that developed during an operative
hysteroscopy with glycine 1.5% as the fluid of distension. Based on our experience,
we recommend that practitioners reduce operating times, monitor fluid balances,
check electrolytes and kinetic heart rates, and monitor for symptoms including
otorrhagia and nosebleed, in order to identify and possibly prevent IAS due to an
overload of low-viscosity fluids.
Keyword : Glycine, hysteroscopy, intravascular absorption syndrome, nosebleed, otorrhagia
