Anesthetic management of a parturient with fetal sacrococcygeal teratoma and mirror syndrome complicated by elevated hCG and subsequent hyperthyroidism

被引：15

作者：

McCann, Spring M. ^{[1
,2
]}

Emery, Stephen P. ^{[3
,4
]}

Vallejo, Manuel C. ^{[1
,2
]}

机构：

[1] Magee Womens Hosp, Dept Anesthesiol, Pittsburgh, PA 15213 USA

[2] Univ Pittsburgh, Sch Med, Pittsburgh, PA USA

[3] Magee Womens Hosp, Div Maternal Fetal Med, Dept Obstet Gynecol & Reprod Sci, Fetal Diag & Treatment Ctr, Pittsburgh, PA 15213 USA

[4] Magee Womens Hosp, Div Ultrasound, Dept Obstet Gynecol & Reprod Sci, Fetal Diag & Treatment Ctr, Pittsburgh, PA 15213 USA

来源：

JOURNAL OF CLINICAL ANESTHESIA | 2009年 / 21卷 / 07期

关键词：

Anesthesia; Obstetrical; Fetal sacrococcygeal teratoma; Hydrops fetalis; Mirror syndrome;

D O I：

10.1016/j.jclinane.2008.11.012

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Mirror syndrome is a condition in which the mother "mirrors" her hydropic fetus and/or hydropic placenta. Physical and laboratory findings of mirror syndrome include generalized edema, hypertension, and proteinuria similar to preeclampsia. However, unlike preeclampsia, mirror syndrome is associated with hemodilutional anemia and fluid overload, which may progress to pulmonary edema. The anesthetic management of a parturient with fetal sacrococcygeal teratoma, hydrops fetalis, and mirror syndrome complicated by markedly elevated maternal serum human chorionic gonadotropin and subsequent clinical hyperthyroidism, is presented. (C) 2009 Elsevier Inc. All rights reserved.

引用

页码：521 / 524

页数：4

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