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Journal
2011 | 6 | 6 | 773-777
Article title

A case of almagel-induced methemoglobinemia after pancreatoduodenal resection

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EN
Abstracts
EN
We are reporting the case of severe methemoglobinemia resulting from Almagel which was given for treatment of gastrointestinal ulcers after pancreatoduodenal resection. A 64 year old man was treated with Almagel A postoperatively. One day after treatment began, the patient reported what appeared to be cyanotic discolorations of his lips and fingers. (SpO2 80%, normal pO2). Two days later, the patient was diagnosed with methemoglobinemia via co-oximetry and treated with methylene blue. The causes of methemoglobinemia remained unclear, and Almagel A was reinitiated until the second episode of methemoglobinemia, was diagnosed and treated promptly. The dose of benzocaine in Almagel A (100 mg/5 ml) was sufficient enough to cause methemoglobinemia, confirmed using multiwavelength co-oximeter and successfully treated with methylene blue.
Publisher

Journal
Year
Volume
6
Issue
6
Pages
773-777
Physical description
Dates
published
1 - 12 - 2011
online
8 - 10 - 2011
Contributors
  • Department of Anaesthesiology, Medical Academy, Lithuanian University of Health Sciences, LT 50009, Kaunas, Lithuania
  • Department of Anaesthesiology, Medical Academy, Lithuanian University of Health Sciences, LT 50009, Kaunas, Lithuania
  • Department of Anaesthesiology, Medical Academy, Lithuanian University of Health Sciences, LT 50009, Kaunas, Lithuania
author
  • Department of Anaesthesiology, Medical Academy, Lithuanian University of Health Sciences, LT 50009, Kaunas, Lithuania
  • Department of Surgery, Medical Academy, Lithuanian University of Health Sciences, LT 50009, Kaunas, Lithuania
References
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Document Type
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_s11536-011-0100-7
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