Hyperthermia associated with biliary obstruction during living donor liver transplantation

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...

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Main Authors: Hyeryung Kang, Joohyun Park, Jeong Jin Lee, Gaab-Soo Kim
Format: Article
Language:English
Published: Korean Society of Anesthesiologists 2018-08-01
Series:Korean Journal of Anesthesiology
Subjects:
Online Access:http://ekja.org/upload/pdf/kja-d-18-27211.pdf
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author Hyeryung Kang
Joohyun Park
Jeong Jin Lee
Gaab-Soo Kim
author_facet Hyeryung Kang
Joohyun Park
Jeong Jin Lee
Gaab-Soo Kim
author_sort Hyeryung Kang
collection DOAJ
description 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.
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spelling doaj.art-21f40a2de6f74b93a8a24cf7a9b3b64b2022-12-21T19:07:20ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632018-08-0171432332710.4097/kja.d.18.272118415Hyperthermia associated with biliary obstruction during living donor liver transplantationHyeryung Kang0Joohyun Park1Jeong Jin Lee2Gaab-Soo Kim Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaIntraoperative 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.http://ekja.org/upload/pdf/kja-d-18-27211.pdfbile congestionbiliary obstructionintraoperative hyperthermialiving donor liver transplantation
spellingShingle Hyeryung Kang
Joohyun Park
Jeong Jin Lee
Gaab-Soo Kim
Hyperthermia associated with biliary obstruction during living donor liver transplantation
Korean Journal of Anesthesiology
bile congestion
biliary obstruction
intraoperative hyperthermia
living donor liver transplantation
title Hyperthermia associated with biliary obstruction during living donor liver transplantation
title_full Hyperthermia associated with biliary obstruction during living donor liver transplantation
title_fullStr Hyperthermia associated with biliary obstruction during living donor liver transplantation
title_full_unstemmed Hyperthermia associated with biliary obstruction during living donor liver transplantation
title_short Hyperthermia associated with biliary obstruction during living donor liver transplantation
title_sort hyperthermia associated with biliary obstruction during living donor liver transplantation
topic bile congestion
biliary obstruction
intraoperative hyperthermia
living donor liver transplantation
url http://ekja.org/upload/pdf/kja-d-18-27211.pdf
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AT jeongjinlee hyperthermiaassociatedwithbiliaryobstructionduringlivingdonorlivertransplantation
AT gaabsookim hyperthermiaassociatedwithbiliaryobstructionduringlivingdonorlivertransplantation