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Case 38 - A 50-Year-Old Woman Loses Consciousness during an Office Hysteroscopy

Published online by Cambridge University Press:  19 November 2021

Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

A 50-year-old woman is seen in the office for the evaluation of postmenopausal bleeding. Pelvic ultrasound demonstrated an 11 mm endometrial lining. She has a history of diabetes and well-controlled hypertension. She has no known drug allergies. She has a history of prior cesarean sections. After review of technical aspects and risks, consent is obtained. She is placed in dorsal lithotomy position and the vagina is prepped with povidone-iodine. Vaginoscopy is performed using a 3 mm flexible hysteroscope. The vaginal mucosa and endocervical canal appear normal. She reports to the nurse that she is feeling lightheaded and warm. She subsequently states that her vision is blurred and loses consciousness.

Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
, pp. 115 - 117
Publisher: Cambridge University Press
Print publication year: 2021

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References

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