Journal Basic Info

  • Impact Factor: 0.285**
  • H-Index: 6
  • ISSN: 2638-4558
  • DOI: 10.25107/2638-4558
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Transplantation Medicine
  •  Virology
  •  Lung Cancer
  •  Genetics
  •  Forensic and Legal Medicine
  •  Diabetology
  •  Nephrology
  •  Vascular Medicine

Abstract

Citation: Clin Case Rep Int. 2018;2(1):1045.DOI: 10.25107/2638-4558.1045

Anesthetic Management for a Cesarean Delivery in a Pregnancy Complicated by Uterus Polymyomatosus: A Case Report

Tina Maes, Milica Matic and Jan Poelaert

Department of Anesthesiology and Preoperative Medicine, University Hospital of Brussels, Belgium

*Correspondance to: Tina Maes 

 PDF  Full Text Case Report | Open Access

Abstract:

Benign uterine leiomyomas are the most common pelvic tumors, impairing natural delivery. We report a case of uterus polymyomatosus and recurrent pleural effusions before and during pregnancy. A 35-year-oldpatient, with Congolese origin, underwent an urgent cesarean delivery because of acute vaginal blood loss, premature uterine contractions and persistent transverse position of the fetus.The patient was treated with a high lumbar epidural catheter and bilateral intercostal block, permitting a high level of incision. We demonstrate the importance of preoperative multidisciplinary consultation in complex obstetric cases. Ultrasound guidance could be of help to verify the correct level for epidural and intercostal puncture.

Keywords:

Cesarean delivery; Epidural catheter; Intercostal block; Ultrasound; Uterus myomatosus

Cite the Article:

Maes T, Matic M, Poelaert J. Anesthetic Management for a Cesarean Delivery in a Pregnancy Complicated by Uterus Polymyomatosus: A Case Report. Clin Case Rep Int. 2018; 2: 1045.

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