[Clinically undiagnosed glycogen storage disease type I as cause of postoperative death (author's transl)].
A 30-year-old patient was admitted to hospital for cholecystectomy with a diagnosis of complete obstruction of the cystic duct. The preoperative clinical and chemical findings were normal. Following cholecystectomy the patient recovered normally from the anaesthetic. Three hours later sudden cardiac arrest occurred. Necropsy revealed glycogen storage disease type I. Hypoglycaemia and metabolic acidosis had probably led to hypokalaemia which is considered as the cause of cardiac failure.
D000328:Adult; D001344:Autopsy; D002763:Cholecystectomy; D003645:Death, Sudden / Q000209:etiology; D005260:Female; D005953:Glycogen Storage Disease Type I / Q000150:complications* / Q000473:pathology; D006323:Heart Arrest / Q000150:complications / Q000209:etiology; D006801:Humans; D007003:Hypoglycemia / Q000150:complications; D007008:Hypokalemia / Q000150:complications; D011183:Postoperative Complications
Klinisch nicht feststellbare Glykogenspeicherkrankheit vom Typ I als Ursache eines postoperativen Todesfalles