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KMID : 0356920180710040323
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Korean Journal of Anesthesiology
2018 Volume.71 No. 4 p.323 ~ p.327
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Hyperthermia associated with biliary obstruction during living donor liver transplantation
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Kang Hye-Ryung
Park Joo-Hyun
Lee Jeong-Jin
Kim Gaab-Soo
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Abstract
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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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KEYWORD
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Bile congestion, Biliary obstruction, Intraoperative hyperthermia, Living donor liver transplantation
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