title: Severe Intraoperative Shock Related to Mesenteric Traction Syndrome.
abstract: Mesenteric traction syndrome is defined as arterial hypotension, facial flushing, and tachycardia related to mesenteric traction. We describe a case of mesenteric traction syndrome refractory to catecholamine and vasopressin infusions. The patient, who had Crohn disease, developed severe distributive shock after mesenteric traction while undergoing resection of an intestinal inflammatory mass, accompanied by facial flushing and unaltered readings for pulse oximetry, capnography, and bispectral index monitoring. The absence of tachycardia in this case was attributed to long-term use of timolol. Arterial pressure returned to baseline level after approximately 30 minutes, and the postoperative period was uneventful.
authors.affiliation: From the *Division of Anesthesiology, Antonio Pedro University Hospital, Fluminense Federal University, Niterói, Brazil; and †Department of Surgery, Fluminense Federal University Medical School, Niterói, Brazil.
authors.forename: Alfredo Haack
authors.initials: AH
authors.lastname: Couto
authors.forename: Hugo
authors.initials: H
authors.lastname: Siqueira
authors.forename: Pablo Pulcheira
authors.initials: PP
authors.lastname: Brasileiro
authors.forename: Ismar Lima
authors.initials: IL
authors.lastname: Cavalcanti
authors.forename: Rogério Luiz da Rocha
authors.initials: RL
authors.lastname: Videira
mesh_terms: D000368:Aged; D002432:Cecum / Q000601:surgery; D003106:Colon / Q000601:surgery; D003424:Crohn Disease / Q000601:surgery; D005260:Female; D005483:Flushing / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007022:Hypotension / Q000175:diagnosis / Q000209:etiology*; D007082:Ileum / Q000601:surgery; D007431:Intraoperative Complications / Q000209:etiology; D012769:Shock / Q000209:etiology*; D013577:Syndrome; D013610:Tachycardia / Q000175:diagnosis / Q000209:etiology*