• Gynecologic oncology · Aug 2009

    Case Reports

    Anaphylactic shock during the sentinel lymph node procedure for cervical cancer.

    • Alexandre Bricou, Emmanuel Barranger, Serge Uzan, and Emile Darai.
    • Department of Gynecology Oncology, Hôpital Tenon, Assistance Publique des Hôpitaux de Paris, UFR Saint-Antoine, 75020 Paris, France.
    • Gynecol. Oncol. 2009 Aug 1; 114 (2): 375-6.

    BackgroundPatent blue is a commonly used agent in the detection of sentinel nodes (SN) in solid cancer. Similar to any drug, it is possible to have an allergic reaction during surgery. Anaphylactic reactions to patent blue have been rarely reported especially in cervical cancer.CaseWe reported here a rare case of anaphylactic shock due to patent blue in response to injection of patent blue for SN mapping in a woman with cervical cancer. We presented our management of the shock, our diagnostic process of the allergen and the treatment of the cervix cancer after the anaphylactic reaction.ConclusionSurgeons and anesthetists must be aware of the potential allergic of patent blue during the SN procedure.

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