This case report highlights the challenges of managing laryngospasm during emergency surgery for a ruptured ectopic pregnancy. Laryngospasm, a serious complication of anesthesia, causes involuntary laryngeal muscle contractions that obstruct the airway and can lead to hypoxemia, unconsciousness, or death if untreated. A 39-year-old obese woman presented with acute abdominal pain and symptoms of a ruptured ectopic pregnancy. During anesthesia induction, she experienced laryngospasm, complicating intubation and requiring the use of a laryngeal mask airway. Treatment with subcutaneous epinephrine, nebulized morphine, and aminophylline successfully restored her airway, allowing the surgery to proceed without further complications. This case emphasizes the importance of being prepared to manage laryngospasm, particularly in high-risk patients with factors like obesity, emotional stress, or a history of asthma. It highlights the need for anesthesiologists to remain vigilant and respond swiftly to early signs of airway obstruction. The report underscores the value of teamwork and timely intervention in managing emergencies to ensure patient safety and prevent life-threatening outcomes.
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http://dx.doi.org/10.1002/ccr3.70297 | DOI Listing |
Clin Case Rep
March 2025
Vali-E-Asr Reproductive Health Research Center, Family Health Research Institute, Imam Khomeini Hospital Complex Tehran University of Medical Sciences Tehran Iran.
This case report highlights the challenges of managing laryngospasm during emergency surgery for a ruptured ectopic pregnancy. Laryngospasm, a serious complication of anesthesia, causes involuntary laryngeal muscle contractions that obstruct the airway and can lead to hypoxemia, unconsciousness, or death if untreated. A 39-year-old obese woman presented with acute abdominal pain and symptoms of a ruptured ectopic pregnancy.
View Article and Find Full Text PDFAm J Case Rep
March 2025
Division of General Surgery, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
BACKGROUND Splenosis is the ectopic autotrasplantation of splenic tissue that can follow trauma to the spleen or splenectomy and can occur anywhere in the peritoneal cavity or extraperitoneally. Splenosis can present incidentally without symptoms or with various symptoms depending on size and location. We describe a case of pelvic splenosis mimicking endometriosis in presentation.
View Article and Find Full Text PDFJ UOEH
March 2025
Department of Obstetrics and Gynecology, School of Medicine, University of Occupational and Environmental Health, Japan.
To report a rare case of recurrent ectopic pregnancy in an ipsilateral fallopian tube remnant after left salpingectomy for tubal pregnancy. A 33-year-old patient presented with suspected ectopic pregnancy. The patient had previously undergone a left salpingectomy for a tubal pregnancy.
View Article and Find Full Text PDFCase Rep Womens Health
December 2024
Al-Quds University, Jerusalem, Palestine.
The uterine myometrium is the rarest location for an ectopic pregnancy. Such an intramural or intramyometrial ectopic pregnancy presents a diagnostic and therapeutic challenge. If undiagnosed, it can lead to life-threatening uterine rupture, which may warrant a hysterectomy, leaving the patient with irreversible infertility.
View Article and Find Full Text PDFInt J Surg Case Rep
February 2025
Hue University of Medicine and Pharmacy, Hue, Viet Nam.
Introduction And Importance: Cesarean scar pregnancy (CSP) is an uncommon ectopic pregnancy that could be progressive to the placenta accreta spectrum (PAS). It is defined as abnormal trophoblast invasion of part or all of the placenta into the myometrium of the uterine wall, with varying degrees of severity. These abnormal pathologies of placental implantation could lead to life-threatening complications for pregnant women.
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