Anaesthetic management of a pregnant patient with multiple myeloma

International Journal of Obstetric Anesthesia
D M DabrowskaS Varaday

Abstract

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.

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Citations

Jul 26, 2011·Archives of Gynecology and Obstetrics·Daphné Borja de MozotaEustase Janky
Aug 27, 2013·International Journal of Hematology·Racem BouzguendaMounir Frikha
Aug 8, 2014·Obstetrical & Gynecological Survey·Sarah Dotters-KatzJeffrey Kuller
Sep 26, 2012·Journal of Clinical Anesthesia·Umamaheswary Tharmaratnam, Mrinalini Balki
Dec 11, 2014·Hematological Oncology·Valentin Cabañas-PerianesJose Maria Moraleda
May 18, 2011·Clinical Lymphoma, Myeloma & Leukemia·Benjamin KasendaMonika Engelhardt
Jan 9, 2018·Indian Journal of Anaesthesia·Sriraam KalingarayarArumugam S Thennavan

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