Case report: Anesthesia for cesarean section in a patient with Proteus syndrome

Pilco E.Q.; Lozano M.C.; Medrano E.G.; Figueroa J.S.; Salas V.A. · Revista Chilena de Anestesia (2023) · DOI: 10.25237/revchilanestv52n04-15

Resumen

Introduction: In pregnant women diagnosed with Proteus Syndrome, anesthetic management in cesarean delivery becomes a real challenge for the anesthesiologist, who must be prepared to approach a difficult airway or neuraxial access, due to the anatomical changes due to the presence of tumors or facial asymmetry, kyphoscoliosis and anatomical deformations produced by hamartomas on the thoracic and lumbar surfaces. Also, consider the importance of antithrombotic prophylaxis due to the high risk of deep vein thrombosis and pulmonary thromboembolism in this type of patient. Objective: To describe the anesthetic management by spinal technique of a pregnant woman with Proteus Syndrome. Methods and Results: We present the case of a 34-week pregnant woman with Proteus syndrome undergoing cesarean section under spinal anesthesia. In addition, a literature review was carried out in this regard. Conclusions: Spinal anesthesia was an effective and safe technique in this patient, providing adequate sensory and motor blockade for cesarean section, without major hemodynamic changes, allowing rapid recovery and adequate postoperative pain control.

Instituciones: Universidad Nacional Mayor de San Marcos