Anaphylactic shock induced by polyethylene glycol after bowel preparation for the colorectal cancer surgery:A case report  

作　　者：Go Woon Park Nahyeon Park Jung Cheol Kuk Eung Jin Shin Dae Ro Lim 

机构地区：[1]Department of General Surgery,Soonchunhyang Bucheon Hospital,Bucheon 14584,South Korea

出　　处：《World Journal of Clinical Cases》2023年第23期5589-5594,共6页世界临床病例杂志

摘　　要：BACKGROUND Polyethylene glycol(PEG)is widely used as an additive because of its hydrophilic and chemically inert properties.However,there are been increasing reports of PEG allergies,including anaphylaxis,although they are still rare.This case report aims to raise awareness,that the commonly used bowel cleansing agent containing PEG can cause serious allergic reactions.CASE SUMMARY Prior to surgery for sigmoid colon cancer,a 63-year-old man was prescribed a bowel cleansing agent containing PEG.Within 30 min of ingestion,he developed symptoms of anaphylactic shock and did not respond to initial intramuscular epinephrine injection.Under diagnosis of anaphylaxis to PEG,he was stabilized with fluid hydration and continuous norepinephrine infusion.CONCLUSION While allergic reactions to PEG are rare,they can be life-threatening.Therefore,it is crucial for clinicians to be aware of this possibility and to diagnose and resuscitate patients immediately.

关 键 词：Polyethylene glycol ANAPHYLAXIS Sigmoid colon cancer Bowel preparation Case report 

分 类 号：R459.7[医药卫生—急诊医学]