Anesthetic management of a patient with known Dubin Johnson Syndrome – a case report

Abstract

This is a case report of the anesthetic management of a 20-year-old woman, a known case of Dubin Johnson syndrome (DJS). The patient underwent laparoscopic appendicectomy under general anesthesia.  Aside from elevated serum bilirubin levels, other routine laboratory tests were normal.

As it is a rare and uncommon disease, the anesthetic management was considered a challenge. Liver being the organ affected, the drugs, which increases bilirubin, were to be avoided. Selection of drugs to provide analgesia, anesthesia and to reduce perioperative stress was a priority and to prevent the rise in bilirubin levels.

Key words: Dubin Johnson syndrome; Anesthesia management; Liver enzymes

Citation: John AA, Shibli KU, Soliman MH, Elboursaly I, Ramanathan L. Anesthetic management of a patient with known Dubin Johnson Syndrome – a case report. Anaesth. pain intensive care 2021;25(5):676–679;

DOI: 10.35975/apic.v25i5.1636

Received: April 25, 2021; Reviewed: May 6, 2021; Accepted: June 11, 2021