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capnoperitoneum allowing early removal of the drain in the postoperative period. If the presentation is of a tension capnothorax then the capnoperitoneum should be deflated until cardiovascular stability has been restored. In our case following drainage of the capnothorax, surgery continued without further problems. The monitoring suggested would be considered by many to be essential but the diagnosis may still be missed or delayed without a high index of suspicion of this wellrecognized problem. 2,3

Cardiac arrest after intrauterine instillation of 32% dextran-70 during hysteroscopy