Corti Michael C, Thomas Anish D, Sayegh Mark N, Vernon Kasun, Sherman Cara, Trainor Robert
Internal Medicine, St. Johns Riverside Hospital, Yonkers, USA.
Internal Medicine, Lake Erie College of Osteopathic Medicine, Erie, USA.
Cureus. 2021 Aug 6;13(8):e16938. doi: 10.7759/cureus.16938. eCollection 2021 Aug.
This case report details the resulting anaphylaxis and angioedema following placement of Surgicel hemostatic agent in a 38-year-old male postoperatively. Our patient experienced minor postoperative bleeding at the placement site of a dialysis catheter, which was controlled using Surgicel. Within minutes of the placement of Surgicel in the incision, the patient experienced an anaphylactic reaction with facial angioedema resulting in a Rapid Response being called to intervene. Incidences of Surgicel-induced anaphylaxis and hypersensitivity reactions are rare, but this report aims to bring awareness to this potential complication, as well as to assist with guiding management of future adverse reactions and surveillance of patients afterward.
本病例报告详细介绍了一名38岁男性术后使用速即纱止血剂后发生的过敏反应和血管性水肿。我们的患者在透析导管置入部位出现轻微术后出血,使用速即纱进行了控制。在切口处放置速即纱几分钟内,患者出现过敏反应,面部血管性水肿,因此呼叫了快速反应小组进行干预。速即纱引起的过敏反应和超敏反应发生率很低,但本报告旨在提高对这一潜在并发症的认识,并协助指导未来不良反应的管理以及术后患者的监测。