Sudden hypothermia after bladder perforation during transurethral bladder tumor resection: A case report

Lee, Min Kee; Lee, Yong Seock

Case Report

General Article

Anesthesia and Pain Medicine 2010;5(2):173-176.
Published online April 30, 2010.

Sudden hypothermia after bladder perforation during transurethral bladder tumor resection: A case report

Department of Anesthesiology and Pain Medicine, Korea Institute of Radiological and Medical Sciences, Seoul, Korea. lysjdjn@yahoo.co.kr

Abstract

Transurethral resection is frequently performed urologic operation for benign prostate hypertrophy, prostate cancer, bladder cancer. During transurethral resection, urologists generally use room temperature irrigation fluid, and there is a chance that patients will run into hypothermia. Hypothermia may lead to arrhythmia, reduction of cardiac output, coagulation disorder, metabolic acidosis, and further serious life threatening complications. This case describes a sudden drop in core temperature due to bladder perforation and intraperitoneal leakage of irrigation fluid during transurethral resection of bladder tumor.

Key Words: Bladder perforation, Hypothermia, Intraperitoneal leakage, Transurethral resection