Rectal Stump Lavage: Simple Procedure Resulting in Life-threatening Complication
In colorectal resections, rectal stump lavage is commonly performed prior to primary anastomosis for reducing bacterial counts and minimizing the risk of anastomotic recurrence. Being a potent bactericidal and cytotoxic disinfectant, chlorhexidine is frequently chosen as the irrigation solution of c...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2007-01-01
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| Series: | Asian Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958409601329 |
| _version_ | 1819298694787235840 |
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| author | Shirley Y.W. Liu Janet Fung-Yee Lee Simon S.M. Ng Jimmy C.M. Li Raymond Y.C. Yiu |
| author_facet | Shirley Y.W. Liu Janet Fung-Yee Lee Simon S.M. Ng Jimmy C.M. Li Raymond Y.C. Yiu |
| author_sort | Shirley Y.W. Liu |
| collection | DOAJ |
| description | In colorectal resections, rectal stump lavage is commonly performed prior to primary anastomosis for reducing bacterial counts and minimizing the risk of anastomotic recurrence. Being a potent bactericidal and cytotoxic disinfectant, chlorhexidine is frequently chosen as the irrigation solution of choice for such purposes. Despite its widespread use, the potential for developing chlorhexidine allergy is still a major concern due to the ever-rising number of literature reports of hypersensitivity reactions to chlorhexidine in surgical patients. This report illustrates the first reported case of life-threatening chlorhexidine anaphylaxis after its use in rectal stump lavage for colorectal resection. This report serves as a reminder of the potential danger of this “hidden allergen” in clinical practice. |
| first_indexed | 2024-12-24T05:33:59Z |
| format | Article |
| id | doaj.art-46f747b844a04e5d977da0a794fc5633 |
| institution | Directory Open Access Journal |
| issn | 1015-9584 |
| language | English |
| last_indexed | 2024-12-24T05:33:59Z |
| publishDate | 2007-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj.art-46f747b844a04e5d977da0a794fc56332022-12-21T17:13:05ZengElsevierAsian Journal of Surgery1015-95842007-01-01301727410.1016/S1015-9584(09)60132-9Rectal Stump Lavage: Simple Procedure Resulting in Life-threatening ComplicationShirley Y.W. LiuJanet Fung-Yee LeeSimon S.M. NgJimmy C.M. LiRaymond Y.C. YiuIn colorectal resections, rectal stump lavage is commonly performed prior to primary anastomosis for reducing bacterial counts and minimizing the risk of anastomotic recurrence. Being a potent bactericidal and cytotoxic disinfectant, chlorhexidine is frequently chosen as the irrigation solution of choice for such purposes. Despite its widespread use, the potential for developing chlorhexidine allergy is still a major concern due to the ever-rising number of literature reports of hypersensitivity reactions to chlorhexidine in surgical patients. This report illustrates the first reported case of life-threatening chlorhexidine anaphylaxis after its use in rectal stump lavage for colorectal resection. This report serves as a reminder of the potential danger of this “hidden allergen” in clinical practice.http://www.sciencedirect.com/science/article/pii/S1015958409601329allergyanaphylaxischlorhexidinerectal lavagerectal washout |
| spellingShingle | Shirley Y.W. Liu Janet Fung-Yee Lee Simon S.M. Ng Jimmy C.M. Li Raymond Y.C. Yiu Rectal Stump Lavage: Simple Procedure Resulting in Life-threatening Complication Asian Journal of Surgery allergy anaphylaxis chlorhexidine rectal lavage rectal washout |
| title | Rectal Stump Lavage: Simple Procedure Resulting in Life-threatening Complication |
| title_full | Rectal Stump Lavage: Simple Procedure Resulting in Life-threatening Complication |
| title_fullStr | Rectal Stump Lavage: Simple Procedure Resulting in Life-threatening Complication |
| title_full_unstemmed | Rectal Stump Lavage: Simple Procedure Resulting in Life-threatening Complication |
| title_short | Rectal Stump Lavage: Simple Procedure Resulting in Life-threatening Complication |
| title_sort | rectal stump lavage simple procedure resulting in life threatening complication |
| topic | allergy anaphylaxis chlorhexidine rectal lavage rectal washout |
| url | http://www.sciencedirect.com/science/article/pii/S1015958409601329 |
| work_keys_str_mv | AT shirleyywliu rectalstumplavagesimpleprocedureresultinginlifethreateningcomplication AT janetfungyeelee rectalstumplavagesimpleprocedureresultinginlifethreateningcomplication AT simonsmng rectalstumplavagesimpleprocedureresultinginlifethreateningcomplication AT jimmycmli rectalstumplavagesimpleprocedureresultinginlifethreateningcomplication AT raymondycyiu rectalstumplavagesimpleprocedureresultinginlifethreateningcomplication |