Document Detail

Anaesthetic management of a pregnant patient with multiple myeloma.
MedLine Citation:
PMID:  20627532     Owner:  NLM     Status:  MEDLINE    
We describe a 42-year-old multiparous woman who was admitted to our hospital in the 28 th week of her twin pregnancy because of anaemia and proteinuria. She was subsequently diagnosed with multiple myeloma. An uncomplicated elective caesarean section was performed at 35 weeks under combined spinal-epidural anaesthesia with a good outcome for mother and both babies. After two weeks, however, the mother developed cardiac failure due to peripartum cardiomyopathy. To our knowledge, there have been no more then twenty reports of multiple myeloma in pregnant patients, of which only five have been diagnosed during pregnancy. This is the first case report describing anaesthetic implications and management of a parturient with multiple myeloma.
D M Dabrowska; C Gore; S Griffiths; M Mudzingwa; S Varaday
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  International journal of obstetric anesthesia     Volume:  19     ISSN:  1532-3374     ISO Abbreviation:  Int J Obstet Anesth     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-08-20     Completed Date:  2010-12-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9200430     Medline TA:  Int J Obstet Anesth     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  336-9     Citation Subset:  IM    
Copyright Information:
2010 Elsevier Ltd. All rights reserved.
Department of Anaesthesia and Intensive Care, West Middlesex University Hospital, London, UK.
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MeSH Terms
Anesthesia, General*
Anesthesia, Obstetrical*
Bone Marrow Transplantation
Cardiomyopathy, Dilated / complications
Cesarean Section
Infant, Newborn
Multiple Myeloma / complications*
Pregnancy Complications, Neoplastic / therapy*
Sterilization, Tubal

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