Anaphylaxis Induced by Fibrin Glue During Surgery for Pneumothorax
Inoue, H.; Okazaki, T.; Minowa, M.; Oyaizu, T.; Matsumura, Y.
Kyobu Geka. Japanese Journal of Thoracic Surgery 72(8): 605-608
2019
ISSN/ISBN: 0021-5252 PMID: 31353353 Document Number: 698511
We report here our experience with a case of anaphylactic shock caused by fibrin glue. A 51-year-old male underwent a thoracoscopic surgery for refractory pneumothorax under local anesthesia. Bullae were revealed, and subsequently covered with fibrin glue and a polyglycolic acid sheet. Twenty-minutes after application of the fibrin glue, sudden drop of blood pressure less than 80 mmHg and a skin rash appeared. Since the patient was not administered any other drugs prior to the reduction in blood pressure, anaphylactic shock was considered to be caused by fibrin glue. The patient recovered after the treatment by dopamine and steroid.