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BJA Advance Access published online on November 18, 2005
British Journal of Anaesthesia, doi:10.1093/bja/aei278
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2005. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org
Accepted October 16, 2005

Case Report

A case of post-reperfusion syndrome following surgery for liver trauma

S. K. Kodakat 1, R. Ginsburg 2 *, P. B. Gopal 3, and M. Rela 4

1 Department of Anaesthesia, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK
2 Department of Anaesthetics, King's College Hospital, Denmark Hill, London SE5 9RS, UK
3 101, Heritage Banjara, Rd No 3, Banjara Hills, Hyderabad 500 034, India
4 Department of Transplant Surgery, King's College Hospital, Denmark Hill, London SE5 9RS, UK

* To whom correspondence should be addressed.
R. Ginsburg, E-mail: rginsburg{at}londondeanery.ac.uk


  Abstract

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.

Keywords: complications, intra-operative; complications, ischaemia-reperfusion injury; complications, post-reperfusion syndrome; complications, abdominal compartment syndrome; liver, hepatectomy; liver, trauma.
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