Hyperthermia associated with biliary obstruction during living donor liver transplantationopen access
- Authors
- Kang H.[Kang H.]; Park J.[Park J.]; Lee J.J.[Lee J.J.]; Kim G.-S.[Kim G.-S.]
- Issue Date
- Aug-2018
- Publisher
- KOREAN SOC ANESTHESIOLOGISTS
- Keywords
- Bile congestion; Biliary obstruction; Intraoperative hyperthermia; Living donor liver transplantation
- Citation
- Korean Journal of Anesthesiology, v.71, no.4, pp.323 - 327
- Journal Title
- Korean Journal of Anesthesiology
- Volume
- 71
- Number
- 4
- Start Page
- 323
- End Page
- 327
- URI
- https://scholarworks.bwise.kr/skku/handle/2021.sw.skku/23937
- DOI
- 10.4097/kja.d.18.27211
- ISSN
- 2005-6419
- 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. © The Korean Society of Anesthesiologists, 2018.
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Collections - Medicine > Department of Medicine > 1. Journal Articles
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