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Intraperitoneal absorption of irrigating fluid during endometrial resection
Acta Obstetricia Et Gynecologica Scandinavica
|July 1, 1993
Summary
During endometrial resection, uterine perforation led to significant fluid absorption into the abdomen. Monitoring ethanol levels in breath helped diagnose this rare complication, enabling timely intervention.
Area of Science:
- Gynecology
- Surgical Safety
- Patient Monitoring
Background:
- Transcervical resection of the endometrium is a common gynecological procedure.
- Uterine perforation is a rare but serious complication.
- Irrigating fluids containing glycine and ethanol are used in some procedures.
Observation:
- A large volume (4,540 ml) of irrigating fluid was absorbed into the peritoneal cavity following uterine perforation.
- Serum glycine levels increased seven-fold.
- Ethanol was detected in the patient's expired breath, prompting procedural cessation.
Findings:
- Intraperitoneal absorption of irrigating fluid was diagnosed based on ethanol level changes.
- Surgical drainage of the absorbed fluid was performed before severe symptoms manifested.
- This case highlights a significant fluid shift during a gynecological procedure.
Implications:
- Early detection of irrigating fluid absorption is crucial for patient safety.
- Monitoring exhaled ethanol can be an indicator of fluid absorption.
- This underscores the importance of vigilant patient monitoring during gynecological procedures to prevent adverse outcomes.