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- Title
Hyperthermia associated with biliary obstruction during living donor liver transplantation.
- Authors
Hyeryung Kang; Joohyun Park; Jeong Jin Lee; Gaab-Soo Kim
- 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.
- Subjects
FEVER; BILE duct abnormalities; ORGAN donors; TRANSPLANTATION of organs, tissues, etc.; C-reactive protein; HEALTH
- Publication
Korean Journal of Anesthesiology, 2018, Vol 71, Issue 4, p323
- ISSN
2005-6419
- Publication type
Case Study
- DOI
10.4097/kja.d.18.27211