[Intraoperative anaphylactic shock during renal transplantation]

A 32-year-old patient developed anaphylactic shock following the intravenous administration of fresh frozen plasma (FFP) during renal transplantation. The shock was reversed by intravenous adrenaline injection after stopping infusion of FFP. After the recovery from the shock state, all surgical procedures were done uneventfully and the renal function after transplantation was stable within normal ranges. Serum histamine and tryptase concentrations were significantly elevated during and immediately after the anaphylactic reaction. Although intracutaneous test could not be carried out with the FFP, we concluded that this anaphylactic shock was due to the FFP.