Disseminated Intraabdominal Heat Injury in a Case of Laparoscopic Cholecystectomy

A 38 yr-old man was scheduled for laparoscopic cholecystectomy. general anesthesia was selected and induced. about 40 minutes after initiation of laparoscopic surgery a progressive tachycardia and hypertension was noticed. we checked anesthetic machine, o2, inhalational anesthetics and appropriate position of tracheal tube. then narcotic and muscle relaxant repeated but our efforts were ineffective. the operation ceased and when laparoscope was withdrawing it accidentally touched the anesthesiologist's hand. it was unexpectedly hot and heat injury supposed. the abdomen was opened immediately. intraabdominal temperature was abnormally high and visceral organs were reddish and inflamed. after rapid irrigation of abdomen with cold normal saline, tachycardia and hypertension regressed to normal situation and open cholecystectomy was down.