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Case Studies | Medicine Science | India | Volume 3 Issue 5, May 2014

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

Edition: Volume 3 Issue 5, May 2014,

Pages: 1492 - 1495