摘要:Reported perianesthesia anaphylaxis is rare,especially in the developing countries,where database records are poorly maintained. Reported cases have shown incidences approximately ranging from 1 in 3500 to 1 in 25,000.[1],[2] Anaphylaxis is a lethal,acute condition involving multiple systems due to release of mediators derived from mast cell and basophiles.[3] There are remote locations or non operating rooms where anaesthesiologists are required to administer anaesthesia or sedations like radiological suites,endoscopy suites,psychiatric units,gynaecology units for in vitro fertilizations. It is a challenging task to the anesthesiologist with respect to the equipment,staff,procedure,and the patient. Serious anaphylactic reactions during anesthesia and in the perioperative period in such locations,if not recognized and managed promptly can rapidly evolve into life-threatening situations. Under reporting of such cases has led to lack of awareness about the magnitude of the problem. Here,we are reporting a case report of anaphylaxis most likely to tranexamic acid (TXA) during perioperative period in a patient in one of the gynecology units (assisted reproductive center) of a tertiary care center.