International surgery · 2012
Discontinuation of living donor liver transplantation due to donor's intraoperative latex-induced anaphylactic shock.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Shinoda Masahiro, Tanabe Minoru, Nagao Keisuke, Kitago Minoru, Fujisaki Hiroto, Odaira Masanori, Kawachi Shigeyuki, Itano Osamu, Obara Hideaki, Matsubara Kentaro, Shimojima Naoki, Fuchimoto Yasushi, Hoshino Ken, Amagai Masayuki, Kuroda Tatsuo, Kitagawa Yuko
Аннотация
We report on a 33-year-old female liver donor candidate who developed intraoperative latex-induced anaphylactic shock during surgery for living donor transplantation. She was the mother of the organ recipient, who was a 9-year-old boy with biliary atresia. We planned extended lateral segmentectomy for her. Although we dissected the ligament around the left lobe, the systolic blood pressure suddenly dropped and her body became flushed and warm. We administered transfusion and an ephedrine injection to recover the blood pressure. Because she recovered after the treatment, we restarted the procedure. However, she went into shock again within a few minutes. We decided to discontinue the operation. Postoperative blood tests revealed an increase in IgE-RAST and basophil activation, suggesting that the anaphylactic shock was induced by latex. Because latex allergy has become a public health problem, this allergy should be kept in mind as a potential donor operation risk.