Cetrimide Induced Metabolic Acidosis: A Rare Intraoperative Complication in a Case of Hydatid Disease of Liver

Ketul S. Puj, Vineet F. Chauhan

Abstract: Liver is the most common organ involved in hydatid disease. Surgery remains the mainstay of treatment. During surgery of hydatid disease of liver; scolicidal agents (like cetrimide; hypertonic saline; savlon etc. ) are used to kill the parasites and prevent intraperitoneal contamination. Use of cetrimide can rarely cause metabolic acidosis intraoperatively; which is a serious complication. Intraoperative arterial blood gas analysis (ABGA) is very helpful in early detection of metabolic acidosis. Patient who develops metabolic acidosis should be managed in a critical care unit. We hereby report a case of 31 year old female patient having hydatid cyst of liver operated laproscopically and developed metabolic acidosis due to use of cetrimide during surgery.

Keywords: Hydatid Disease, Scolicidal Agents, Metabolic Acidosis, Abga-Arterial Blood Gas Analysis

How to Cite?: Ketul S. Puj, Vineet F. Chauhan, "Cetrimide Induced Metabolic Acidosis: A Rare Intraoperative Complication in a Case of Hydatid Disease of Liver", Volume 3 Issue 5, May 2014, International Journal of Science and Research (IJSR), Pages: 1492-1495, https://www.ijsr.net/getabstract.php?paperid=20132195, DOI: https://dx.doi.org/10.21275/20132195