Journal of Clinical Anesthesia
Volume 21, Issue 7 , Pages 521-524 , November 2009

Anesthetic management of a parturient with fetal sacrococcygeal teratoma and mirror syndrome complicated by elevated hCG and subsequent hyperthyroidism

  • Spring M. McCann, MD (Resident)

      Affiliations

    • Department of Anesthesiology, Magee-Womens Hospital, Pittsburgh, PA
    • University of Pittsburgh School of Medicine, Pittsburgh, PA
    • ,
  • Stephen P. Emery, MD (Assistant Professor, Co-Director)

      Affiliations

    • Fetal Diagnosis and Treatment Center, Divisions of Maternal-Fetal Medicine and Ultrasound, Department of Obstetrics, Gynecology, and Reproductive Sciences, Magee-Womens Hospital, Pittsburgh, PA
    • ,
  • Manuel C. Vallejo, MD (Associate Professor, Director)

      Affiliations

    • Department of Anesthesiology, Magee-Womens Hospital, Pittsburgh, PA
    • University of Pittsburgh School of Medicine, Pittsburgh, PA
    • Corresponding Author InformationCorresponding author. Obstetric Anesthesia, Department of Anesthesiology, Magee-Womens Hospital, Pittsburgh, PA, 15213, USA. Tel.: +1 412 641 4260; fax: +1 412 641 4766.

Received 20 December 2007 ,Revised 18 November 2008 ,Accepted 23 November 2008.

References 

  1. van Selm M, Kanhai HH, Gravenhorst JB. Maternal hydrops syndrome: a review. Obstet Gynecol Surv. 1991;46:785–788
  2. Gherman RB, Incerpi MH, Wing DA, Goodwin TM. Ballantyne syndrome: is placental ischemia the etiology?. J Matern-Fetal Med. 1998;7:227–229
  3. Carbillon L, Oury JF, Guerin JM, Azancot A, Blot P. Clinical biological features of Ballantyne syndrome and the role of placental hydrops. Obstet Gynecol Surv. 1997;52:310–314
  4. Finamore PS, Kontopoulos E, Price M, Giannina G, Smulian JC. Mirror syndrome associated with sacrococcygeal teratoma: a case report. J Reprod Med. 2007;52:225–227
  5. Livingston JC, Malik KM, Crombleholme TM, Lim F, Sibai BM. Mirror syndrome: a novel approach to therapy with fetal peritoneal-amniotic shunt. Obstet Gynecol. 2007;110:540–543
  6. Midgley DY, Harding K. The mirror syndrome. Eur J Obstet Gynecol Reprod Biol. 2000;88:201–202
  7. Graf JL, Albanese CT. Fetal sacrococcygeal teratoma. World J Surg. 2003;27:84–86
  8. Kirkinen P, Heinonen S, Vanamo K, Ryynanen M. Maternal serum alpha-fetoprotein and epithelial tumour marker concentrations are not increased by fetal sacrococcygeal teratoma. Prenat Diagn. 1997;17:47–50
  9. Varga DA, Kaplan RF, Kellner KR, Johnson JW, Miller D. Vaginal delivery impeded by a large fetal sacrococcygeal teratoma: anesthetic considerations. Anesth Analg. 1987;66:1325–1327
  10. Olsen TG, Barnes AA, King JA. Elevated hCG outside of pregnancy-diagnostic considerations and laboratory evaluation. Obstet Gynecol Surv. 2007;62:669–674
  11. Biswas BK, Singh SN, Agarwak B, Sah BP, Chaturvedi A, Banerjee B. Respiratory failure after lumbar epidural anesthesia in a patient with uncontrolled hypertyroidism. Anesth Analg. 2006;103:1061–1062

PII: S0952-8180(09)00251-7

doi: 10.1016/j.jclinane.2008.11.012

Journal of Clinical Anesthesia
Volume 21, Issue 7 , Pages 521-524 , November 2009

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