Edema agudo de pulmón como complicación de una histeroscopia quirúrgica

Surgical hysteroscopy is a minimally invasive procedure that may result in potentially serious complications. The solution most commonly used for distension is glycine because of its low viscosity, low cost, transparency and compatibility with electrosurgery. However, excessive absorption of this fluid has adverse effects, ranging from mild fluid and electrolyte alterations to severe hyponatremia, acute pulmonary edema, coma, cardiovascular collapse and death. We report a case of acute pulmonary edema due to excessive absorption of glycine during hysteroscopic myomectomy.