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Disseminated Intraabdominal Heat Injury in a Case of Laparoscopic Cholecystectomy

AUTHORS

M mihanjavid@yahoo.com 1 , *

AUTHORS INFORMATION

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

ARTICLE INFORMATION

Shiraz E-Medical Journal: 9 (2); e93734
Published Online: April 01, 2008
Article Type: Case Report
Received: May 15, 2019
Accepted: September 12, 2007

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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

© 2008, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
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