Abstract
Objective:
To report a case of pulmonary edema after local injection of vasopressin at laparoscopy.
Setting:
University teaching hospital.
Patient:
A 24-year-old woman who underwent a laparoscopic myomectomy.
Intervention:
Injection of vasopressin (10 mL of 0.5 U/mL) into the uterine wall overlying the myoma.
Results:
Bradycardia, atrioventricular block, and pulmonary edema.
Conclusions:
The use of vasopressin can be associated with severe cardiopulmonary complications.
MeSH terms
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Adult
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Blood Pressure / drug effects
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Blood Pressure / physiology
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Bradycardia / chemically induced
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Bradycardia / physiopathology
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Female
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Heart Rate / drug effects
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Heart Rate / physiology
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Humans
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Injections / methods
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Laparoscopy / adverse effects*
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Leiomyoma / surgery
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Myometrium / surgery
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Pulmonary Edema / chemically induced*
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Pulmonary Edema / physiopathology
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Uterine Neoplasms / surgery
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Vasoconstrictor Agents / administration & dosage
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Vasoconstrictor Agents / adverse effects*
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Vasopressins / administration & dosage
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Vasopressins / adverse effects*
Substances
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Vasoconstrictor Agents
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Vasopressins