Abstract
A 70-year-old man underwent laparoscopic total gastrectomy for gastric cancer (T1b(SM), N0, M0, H0, P0, cStage IA). He had a previous history of chronic urticaria and anaphylaxis due to barium and Niflec. Preoperatively, the patient was negative for serum latex antigen-specific immunoglobulin E (IgE) antibody. Intraoperatively, when minilaparotomy was performed for sample resection and reconstruction, he showed a rapid decrease in blood pressure and facial flush. Anaphylactic shock due to latex was suspected, and anti-shock therapy and switching of gloves were immediately performed, after which the patient's condition improved. The surgery was completed uneventfully, and his postoperative course was favorable. Postoperatively, the patient was positive for serum latex antigen-specific IgE antibody. It is extremely difficult to predict the onset of this condition in advance, but in cases in which it does occur, it is considered possible to prevent life-threatening situations through recognition of the disease and appropriate management.
