Cetrimide Induced Metabolic Acidosis: A Rare Intraoperative Complication in a Case of Hydatid Disease of Liver

Liver is the most common organ involved in hydatid disease. Surgery remains the mainstay of treatment. During surgery of hydatid disease of liver, scolicidal agents (like cetrimide, hypertonic saline, savlon etc.) are used to kill the parasites and prevent intraperitoneal contamination. Use of cetrimide can rarely cause metabolic acidosis intraoperatively, which is a serious complication. Intraoperative arterial blood gas analysis (ABGA) is very helpful in early detection of metabolic acidosis. Patient who develops metabolic acidosis should be managed in a critical care unit. We hereby report a case of 31 year old female patient having hydatid cyst of liver operated laproscopically and developed metabolic acidosis due to use of cetrimide during surgery.