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Risk Prevalence: <200,000 cases of porphyria in USA, AIP: 5 to 10 in 100,000 worldwide. Highest in Northern Europeans. More commonly manifests in females, typically third to fourth decades of life. Perioperative Risks Drugs and/or chemicals that induce heme containing…
Case Synopsis A 36-year-old woman with a history of intermittent abdominal pain was scheduled for elective laparoscopic cholecystectomy. Anesthesia and surgery were uneventful. On the first postoperative day, the patient was noted to be restless and was complaining of severe…