Postoperative hypoxia in a woman with Down's syndrome: case presentation

Miss Webb, a 24 year old woman with Down's syndrome, was referred by her general practitioner to the gynaecology outpatient clinic. She gave a one year history of heavy and irregular periods, general lethargy, and a painful abdominal lump, which examination showed to be an umbilical hernia. She had no serious medical history (including congenital heart disease) and she was not taking any regular medicine. She lived with her mother, who was her main carer.

Attempts at insertion of a levonorgestrel intrauterine …