J Korean Surg Soc.  2011 Dec;81(Suppl 1):S30-S33. 10.4174/jkss.2011.81.Suppl1.S30.

A case of anaphylactic shock attributed to latex allergy during gastric cancer surgery

Affiliations
  • 1Department of Surgery, Seoul National University College of Medicine, Seoul, Korea. djpark@snubh.org
  • 2Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.

Abstract

Latex allergy is a known cause of allergic contact dermatitis. It produces mild symptoms, including skin rash and itching, which usually subside in a few days. However, latex allergy can also induce anaphylaxis, a severe type I hypersensitivity reaction that can cause urticaria, angioedema, hypotension, tachycardia, and bronchospasm. We report a case of anaphylactic shock during gastric cancer surgery in a patient with no previous allergic history. Surgery was suspended when hypotension, tachycardia, and wheezing developed. A thorough workup revealed that the patient had a latex allergy. The patient subsequently underwent curative gastrectomy performed with latex-free procedures.

Keyword

Surgery; Latex hypersensitivity; Anaphylaxis

MeSH Terms

Anaphylaxis
Angioedema
Bronchial Spasm
Dermatitis, Allergic Contact
Exanthema
Gastrectomy
Humans
Hypersensitivity, Immediate
Hypotension
Latex
Latex Hypersensitivity
Pruritus
Respiratory Sounds
Stomach Neoplasms
Tachycardia
Urticaria
Latex

Cited by  1 articles

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Reference

1. Potério GM, Braga Ade F, Santos RM, Gomes Ide F, Luchetta MI. Anaphylaxis during renal transplantation of live donor graft in a child with latex allergy: case report. Rev Bras Anestesiol. 2009. 59:210–218.
2. Gerber AC, Jörg W, Zbinden S, Seger RA, Dangel PH. Severe intraoperative anaphylaxis to surgical gloves: latex allergy, an unfamiliar condition. Anesthesiology. 1989. 71:800–802.
3. Meade BJ, Weissman DN, Beezhold DH. Latex allergy: past and present. Int Immunopharmacol. 2002. 2:225–238.
4. Pollard RJ, Layon AJ. Latex allergy in the operating room: case report and a brief review of the literature. J Clin Anesth. 1996. 8:161–167.
5. Deval R, Ramesh V, Prasad GB, Jain AK. Natural rubber latex allergy. Indian J Dermatol Venereol Leprol. 2008. 74:304–310.
6. Turjanmaa K, Alenius H, Reunala T, Palosuo T. Recent developments in latex allergy. Curr Opin Allergy Clin Immunol. 2002. 2:407–412.
7. Mertes PM, Moneret-Vautrin DA, Leynadier F, Laxenaire MC. Skin reactions to intradermal neuromuscular blocking agent injections: a randomized multicenter trial in healthy volunteers. Anesthesiology. 2007. 107:245–252.
8. Fisher MM, Merefield D, Baldo B. Failure to prevent an anaphylactic reaction to a second neuromuscular blocking drug during anaesthesia. Br J Anaesth. 1999. 82:770–773.
9. Haeberle HA, Lupic D, Midoro-Horiuti T, Kiefer RT, Schroeder TH, Unertl K, et al. Role of cross-allergies to latex in clinical routine of anesthesia. J Clin Anesth. 2003. 15:495–504.
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