Disseminated Intraabdominal Heat Injury in a Case of Laparoscopic Cholecystectomy

M mihanjavid@yahoo.com

Outlines

Abstract
References
Copyright

Disseminated Intraabdominal Heat Injury in a Case of Laparoscopic Cholecystectomy

Author(s):

M mihanjavid@yahoo.com^1,*

1Assistant Professor, Department of Anesthesiology, Imam Hospital complex, Tehran University of Medical Sciences, Tehran, Iran

Shiraz E-Medical Journal:Vol. 9, issue 2; e93734

Published online:Apr 01, 2008

Article type:Case Report

Received:May 15, 2019

Accepted:Sep 12, 2007

How to Cite:M mihanjavid@yahoo.comDisseminated Intraabdominal Heat Injury in a Case of Laparoscopic Cholecystectomy.Shiraz E-Med J.9(2):e93734.

Abstract

A 38 yr-old man was scheduled for laparoscopic cholecystectomy. General anesthesia was selected and induced. About 40 minutes after initiation of laparoscopic surgery a progressive tachycardia and hyperten- sion was noticed. We checked anesthetic machine, 02, inhalational anesthetics and appropriate position of tracheal tube. Then narcotic and muscle relaxant repeated but our efforts were ineffective. The operation ceased and when laparoscope was withdrawing it accidentally touched the anesthesiologist's hand. It was unexpectedly hot and heat injury supposed. The abdomen was opened immediately. Intraabdominal tem- perature was abnormally high and visceral organs were reddish and inflamed. After rapid irrigation of ab- domen with cold normal saline, tachycardia and hypertension regressed to normal situation and open cho- lecystectomy was down.

Keywords

heat injury

laparoscopic cholecystectomy

electrocautery

References

1.
The references are available in the PDF file.

comments