Hysteroscopy as a minimally invasive procedure has gained immense popularity over the last few decades and has become the procedure of choice for many diagnostic and operative procedures. With the increase in the number of procedures being performed, the associated complications have started becoming apparent. Complications include perforations, fluid overload, infections and air/ gas embolism of which fluid overload and embolism are potentially hazardous. During hysteroscopy, large uterine veins may become exposed and serve as an entry point for gas or air. The present article discusses the pathophysiology, symptomatology, signs, management and preventive strategies with respect to air embolism in hysteroscopy.
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