Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons)
Online ISSN : 1882-9112
Print ISSN : 0385-7883
ISSN-L : 0385-7883
CASE REPORTS
A Case of Anaphylactic Shock Due To Latex Allergy In A Patient Undergoing Elective Laparoscopy-assisted Sigmoidectomy for Sigmoid Colon Volvulus
Norisuke Shibuya, Mitsuru Ishizuka, Hitoshi Nagata, Yoshimi Iwasaki, Kazutoshi Takagi, Taku Aoki, Keiichi Kubota
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2016 Volume 41 Issue 1 Pages 75-81

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Abstract
A 35-year-old woman, who had Casarean section for 3 times, underwent elective laparoscopy-assisted sigmoidectomy. Operation was performed by using 5 ports. Although there were no remarkable changes during the intra-abdoninal procedures, sudden shock vital occurred when the extra-abdominal procedures were started. After adrenalin injection, her vital signs recovered and we could accomplish surgery. The postoperative course was uneventful and she discharged 8 days after operation. Because the result of laboratory examinations demonstrated that the serum level of latex-specific IgE antibody was elevated to 7.04UA/ml (<0.34 UA/ml), she was diagnosed as having an anaphylactic shock due to latex allergy from surgical gloves. Therefore, in laparoscopic surgery, when a patient reveals a shock vital after starting the extra-abdominal procedures, a possibility of latex allergy should be considered.
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© 2016 Japanese College of Surgeons
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