• Zhen Liu, Ran Li, Siyun Wang, Yingfang Zhou, Ling Yin, Yuan Qu, and Chao Peng.
• Department of Obstetrics and Gynecology.
• Medicine (Baltimore). 2019 Nov 1; 98 (44): e17663e17663.

RationalePostoperative delirium is extremely rare in young women and in minimally invasive endoscopic surgeries in gynecology and obstetrics. It greatly affects both physicians and patients. This report presents a special case of postoperative delirium after hysteroscopy in a young woman and a literature review of the associated etiology, diagnosis, and treatment.Patient ConcernsA 39-year-old woman was admitted to the gynecology ward following irregular vaginal bleeding for 3 months and an intrauterine space-occupying lesion for 1 week. Hysteroscopy, endometrial polypectomy, and fractional curettage procedures were successfully performed; however, the patient became unresponsive after surgery.DiagnosisPostoperative delirium.InterventionsSedatives and vasoactive medicines, such as dexmedetomidine, midazolam, and dopamine were administered for maintenance treatment.OutcomesThe patients gradually regained consciousness.LessonsPhysicians should attach importance and improvise effective clinical management strategies for postoperative delirium based on clinical specialty characteristics and related guidelines.

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