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Hyperthermia associated with biliary obstruction during living donor liver transplantation.
- Source :
-
Korean journal of anesthesiology [Korean J Anesthesiol] 2018 Aug; Vol. 71 (4), pp. 323-327. Date of Electronic Publication: 2018 Apr 25. - Publication Year :
- 2018
-
Abstract
- Intraoperative hypothermia occurs frequently, but hyperthermia is relatively rare during general anesthesia. We experienced a case of hyperthermia during living donor liver transplantation that appeared to be significantly associated with biliary obstruction. A 65-year-old male patient was diagnosed with intrahepatic cholangiocarcinoma, and living donor liver transplantation was planned after confirmation of no metastasis via intraoperative frozen biopsy. Following resection of a segment of common bile duct for frozen biopsy, the surgeon clamped the common bile duct, and the patient's body temperature increased gradually to 39.5°C. As the congested bile was drained, the body temperature decreased to the normal range. This case report suggests that when a patient develops unexplained hyperthermia during hepatobiliary surgery or in a chance of biliary obstruction, clinicians should consider bile congestion as a possible reason for hyperthermia.
Details
- Language :
- English
- ISSN :
- 2005-6419
- Volume :
- 71
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Korean journal of anesthesiology
- Publication Type :
- Academic Journal
- Accession number :
- 29690758
- Full Text :
- https://doi.org/10.4097/kja.d.18.27211