Cesarean section in a pregnant patient with an anterior mediastinal mass and failed supradiaphragmatic irradiation

Journal of Clinical Anesthesia
W J Martin

Abstract

Nodular sclerosing Hodgkin's disease stages IA and IIA are the most common presentation of this disease during pregnancy. Patients presenting with late Hodgkin's disease with failed irradiation for cesarean section present a unique challenge. When this presentation occurs, a voluntary interruption of pregnancy is recommended. Upper body irradiation during the second trimester of pregnancy is recommended as well. We report a case involving a pregnant patient at 34 weeks' gestation presenting for cesarean section with a symptomatic anterior mediastinal mass occupying over 50% of the thoracic diameter. The anesthetic management was performed using continuous spinal.

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Citations

Jul 11, 2001·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·E Crosby
Oct 4, 2003·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J Anne Webster, D Dean Self
Dec 7, 2010·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Uma ShastriMrinalini Balki
Sep 3, 2013·International Journal of Obstetric Anesthesia·C Y LeeK Zainuddin
Oct 24, 2012·Anesthesiology Clinics·George W Kanellakos
Feb 7, 2009·International Journal of Obstetric Anesthesia·E AlonsoE Alsina

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