Anesthesia Wise Guys Assorted Groin Injuries, Hemorrhoid ECMO Update, Massive TIA with hemarthrosis risk, and Percretia to Iliac vessels
Dec 9, 2025
Mawi and Shelly delve into bizarre cases like massage gun-induced labial edema and groin injuries. They discuss an alarming ECMO update following a hemorrhoidectomy and tackle the challenges of a massive TIA after shoulder surgery. A distressing tale of placenta percreta invading iliac vessels adds to the tension. The hosts also share light-hearted moments with anecdotes, including a humorous consult about remote-controlled erections. Prepare for a wild ride through medical mishaps and unforgettable patient stories!
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Massage Gun Caused Severe Labial Edema
- A 23-year-old woman presented with massive labial swelling after using a massage gun for masturbation multiple times.
- Mawi resolved it by advising cessation and simple supportive care rather than complex interventions.
Biting Tube Triggered Pulmonary Edema And ECMO
- A prone hemorrhoidectomy patient bit down on the endotracheal tube after flipping supine and developed severe negative-pressure pulmonary edema requiring ECMO.
- The team rapidly cannulated for ECMO and the patient survived after nearly a week on support.
Inversion Table Injury Led To Hysterectomy
- A woman using an inversion/tilt table reportedly suffered catastrophic vaginal trauma requiring hysterectomy after an unstrapped fall.
- Mawi and Shelly expressed skepticism but emphasized checking straps and safe use of inversion devices.