A case of post-reperfusion syndrome following surgery for liver trauma.
We report the case of a young trauma patient who needed tight perihepatic surgical packing to control bleeding from a ruptured liver. He developed severe cardiovascular and respiratory decompensation on removal of the surgical packs as a result of the post-reperfusion syndrome. He underwent a total hepatectomy and, 35 h later, orthotopic liver transplantation. The pathophysiology of post-reperfusion syndrome is discussed, and its importance to anaesthetists in the non-transplant setting is emphasized.
Kodakat
S K
SK
Department of Anaesthetics, King's College Hospital, Denmark Hill, London SE5 9RS, UK.
Ginsburg
R
R
Gopal
P B
PB
Rela
M
M
D000063:Accidents, Traffic; D000293:Adolescent; D006498:Hepatectomy; D006801:Humans; D007431:Intraoperative Complications; D008099:Liver / Q000293:injuries* / Q000601:surgery*; D016031:Liver Transplantation; D008297:Male; D015427:Reperfusion Injury / Q000209:etiology* / Q000601:surgery; D013577:Syndrome; D013630:Tampons, Surgical