Open AccessAnesthetic management of cesarean delivery for a parturient with Wilson's disease
Author(s) -
Yantong Wan,
Xiaoqin Jiang,
Xin Lin
Publication year - 2018
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000010454
Subject(s) - medicine , asymptomatic , pregnancy , cesarean delivery , surgery , gestation , anesthetic , anesthesia , edema , obstetrics , genetics , biology
Rationale: Wilson's disease (WD), or hepatolenticular degeneration, is an autosomal recessive disorder with a prevalence of 1:50,000 to 1:100,000 live births. Patient concerns: A 26-year-old primipara with WD was admitted to our hospital, due to awaiting delivery. Her main symptoms were slightly higher total bile acid (TBA) and bilateral depressed edema of lower limbs. Diagnosis: She was at 38 weeks and 4 days of gestation with a 15-year history of WD, controlled with penicillamine in the past and replaced by zinc preparations from three months before pregnancy. Outcomes: General anesthesia was successfully administered for a female with WD undergoing cesarean delivery. Lesson: General anesthesia can be administered in an asymptomatic primigravida with WD. Appropriate anesthetics choice can effectively minimize the rates of complications and sequelae.