Carbon monoxide poisoning, gas embolism and fluid overload during resectoscopic myomectomy.

Case reportAJOG global reports· Aug 2026

Carbon monoxide poisoning, gas embolism and fluid overload during resectoscopic myomectomy.

Xue Li, Lei Zhang, Ying Liang … Ting Ding

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Toxicology & PoisoningCase reportClinical practiceQ1IF 2.6

Case: carboxyhemoglobin reached 27.1% during resectoscopic myomectomy complication triad

Carbon monoxide poisoning, gas embolism and fluid overload during resectoscopic myomectomy.

Xue Li … Ting Ding

AJOG global reports · Aug 2026

Background

Resectoscopic myomectomy (resectoscopic myomectomy) is a standard minimally invasive procedure but carries risks of distinct complications.

Results

27.1%

carbon monoxide poisoning reached severe, life-threatening levels

More results

We report a rare case of a 36-year-old woman who simultaneously developed a triad of life-threatening complications during HM: carbon monoxide poisoning, gas embolism, and fluid overload.

The patient presented with precipitous drops in end-tidal carbon dioxide and bispectral index silence.

“

Conclusion

This case highlights the critical need for strict fluid management during resectoscopic myomectomy and CO-oximetry's indispensable role in detecting concurrent carbon monoxide toxicity.