case_images: PMC4900373_01
case_images: Chest roentogram showing - dextrocardia
case_images: ACA-19-177-g001.jpg
case_images: PMC4900373_01_ACA-19-177-g001.jpg
case_images: F1
case_images: Chest X-ray showed dextrocardia without obvious cardiac enlargement [Figure 1].
case_images: Intraoperative patient monitor critical to keep airway pressures (left) lower than the Pulmonary artery pressure represented as central venous pressure (right)
case_images: ACA-19-177-g002.jpg
case_images: PMC4900373_01_ACA-19-177-g002.jpg
case_images: F2
case_images: With this ventilatory strategy we were able to maintain a SpO2 of 91-96% (PO2 measured intraoperatively being 64) throughout the procedure [Figure 2].
case_images: Uterus showing massive fibroid (Huge size of fibroid in relation to the uterus lead to hysterectomy rather than fibroid removal)
case_images: ACA-19-177-g003.jpg
case_images: PMC4900373_01_ACA-19-177-g003.jpg
case_images: F3
case_images: Intraoperative blood loss was estimated to be around 500 ml (200 ml blood loss + 300 ml in the removed uterus with huge fibroid) [Figure 3], which was supplemented with 500 ml of colloid and 1000 ml of crystalloid.