A mill-wheel type of murmur during laparoscopy suggests
Correct Answer: Gas embolism
Description: The 'water-wheel' or 'mill-wheel' murmur is classically associated with large intracardiac air emboli and described as a "characteristic splashing auscultatory sound due to the presence of gas in the cardiac chambers." . Most venous air (gas) emboli are iatrogenic . Ref Davidson edition23rd pg 620
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