Anesthetic management of cesarean delivery for a parturient with Wilson's disease: A case report

Medicine
Yantong WanXuemei Lin

Abstract

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. 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. 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. General anesthesia was successfully administered for a female with WD undergoing cesarean delivery. General anesthesia can be administered in an asymptomatic primigravida with WD. Appropriate anesthetics choice can effectively minimize the rates of complications and sequelae.

References

Oct 30, 1998·The Journal of Laboratory and Clinical Medicine·G J BrewerJ K Fink
Jul 27, 2005·British Journal of Clinical Pharmacology·Haruhiko HiraokaRyuya Horiuchi
Oct 22, 2013·BMC Research Notes·Ayesha MalikLumaan Sheikh
Apr 2, 2015·Current Opinion in Anaesthesiology·Sarah DevroeSteffen Rex

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