Anaphylactic shock following intraurethral lidocaine administration during transurethral resection of the prostate

Anaphylactic shock following intraurethral lidocaine administration during transurethral resection of the prostate

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Anaphylactic shock was noted following an apparently uneventful transurethral resection of the prostate (TURP).Lidocaine Standard LEDs jelly was used prior to urethral dilatation and before placement of three-way Foley.Lidocaine sensitivity was diagnosed serendipitously when lidocaine jelly was used for application of ECG electrodes.Anaphylaxis Agogo Bell may be one of the rare differentials to be considered in a patient with postoperative shock following TURP.This report highlights a potentially fatal complication of an apparently innocuous and ubiquitous urological use of lidocaine.