Korean J Anesthesiol.  2018 Aug;71(4):323-327. 10.4097/kja.d.18.27211.

Hyperthermia associated with biliary obstruction during living donor liver transplantation

• Kang H
• Park J
• Lee JJ
• Kim GS

• KMID: 2418533
• DOI: http://doi.org/10.4097/kja.d.18.27211

Abstract

Intraoperative hypothermia occurs frequently, but hyperthermia is relatively rare during general anesthesia. We experienced a case of hyperthermia during living donor liver transplantation that appeared to be significantly associated with biliary obstruction. A 65-year-old male patient was diagnosed with intrahepatic cholangiocarcinoma, and living donor liver transplantation was planned after confirmation of no metastasis via intraoperative frozen biopsy. Following resection of a segment of common bile duct for frozen biopsy, the surgeon clamped the common bile duct, and the patient's body temperature increased gradually to 39.5°C. As the congested bile was drained, the body temperature decreased to the normal range. This case report suggests that when a patient develops unexplained hyperthermia during hepatobiliary surgery or in a chance of biliary obstruction, clinicians should consider bile congestion as a possible reason for hyperthermia.

Keyword

Bile congestion; Biliary obstruction; Intraoperative hyperthermia; Living donor liver transplantation

MeSH Terms

Aged
Anesthesia, General
Bile
Biopsy
Body Temperature
Cholangiocarcinoma
Common Bile Duct
Estrogens, Conjugated (USP)
Fever*
Humans
Hypothermia
Liver Transplantation*
Liver*
Living Donors*
Male
Neoplasm Metastasis
Reference Values
Estrogens, Conjugated (USP)