Anesthesia management for emergency cesarean section in a patient affected by von Willebrand's disease with perinatal distress

Von Willebrand's disease is the most common hereditary coagulation disorder in young women. This report aimed at describing the case of obese patient with von Willebrand's disease scheduled for cesarean section. We report the case of an obese patient, 26 years old, with von Willebrand's disease, admitted to the emergency room in early labor. Cesarean section was indicated because the baby shows signs of distress. Patient had hematomas on both arms and legs and history of abdominal wall hematoma in previous hernia repair. Coagulation tests were mildly changed. General anesthesia was preferred and induced after factor VIII concentrate infusion. Both mother and newborn had satisfactory outcomes. Clinical evaluation of patients with coagulopathies is critical for determining the anesthetic technique. Evaluation should be individualized, considering risks and benefits of the technique. Cesarean section for these patients should be avoided whenever possible and replaced by less invasive methods. Factor VIII concentrate therapy is the best treatment option for correcting specific deficiency.