TY - JOUR
T1 - Discontinuation of living donor liver transplantation due to donor's intraoperative latex-induced anaphylactic shock
AU - Shinoda, Masahiro
AU - Tanabe, Minoru
AU - Nagao, Keisuke
AU - Kitago, Minoru
AU - Fujisaki, Hiroto
AU - Odaira, Masanori
AU - Kawachi, Shigeyuki
AU - Itano, Osamu
AU - Obara, Hideaki
AU - Matsubara, Kentaro
AU - Shimojima, Naoki
AU - Fuchimoto, Yasushi
AU - Hoshino, Ken
AU - Amagai, Masayuki
AU - Kuroda, Tatsuo
AU - Kitagawa, Yuko
PY - 2012
Y1 - 2012
N2 - 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.
AB - 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.
KW - Anaphylactic reaction
KW - Latex allergy
KW - Living donor liver transplantation
KW - Shock
UR - http://www.scopus.com/inward/record.url?scp=84896505335&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84896505335&partnerID=8YFLogxK
U2 - 10.9738/CC89.1
DO - 10.9738/CC89.1
M3 - Article
C2 - 23294079
AN - SCOPUS:84896505335
SN - 0020-8868
VL - 97
SP - 356
EP - 359
JO - International Surgery
JF - International Surgery
IS - 4
ER -
