Management of Spinal Anesthesia in a Pregnant with Thyrotoxicosis due to Hydatifrom Mole

Abstract

In this case report, we aimed to discuss anasthethic management in a patient with molar pregnancy in the thyroid crisis under regional anesthesia in the light of literature information.    

Keywords

• Molar pregnancy,thyrotoxicosis,regional anesthesia

Tirotoksikozlu Hidatidiform Molar Gebeliği Olan Hastada Spinal Anestezi Yönetimi

Abstract

Hipertiroidi ve/veya tirotoksikozlu molar gebelikte anestezi seçimi ve yönetimi oldukça önemlidir. Tirotoksikozlu mol hidatifomu olan gebe olguda, molün boşaltılması için uygulanan spinal anestezi yönetiminin literatür eşliğinde tartışılarak gözden geçirilmesi amaçlandı. 

Keywords

• Molar gebelik,tirotoksikoz,spinal anestezi

References

1. 1. Kurdi MS. Hydatidiform mole: A sour encounter with a grapy case. Indian J Anaesth. 2011; 55: 171-3.
2. 2. Jelly P, Rakesh S. Gestational trophoblastic disease (GTD). International Journal of Medical Paediatrics and Oncology. 2016; 2(2):70-3
3. 3. Solak S, Akturk G. Spinal anesthesia in a patient with hyperthyroidism due to hydatidiform mole Anesth Analg 1993;77:851-852.
4. 4. Bhatia N, Mitharwal SM. Hydatiform mole with uncontrolled hyperthyroidism: An anesthetic challenge. J Anaesthesiol Clin Pharmacol 2016; 32: 537-8.
5. 5. Berkowitz RS, Goldstein DP. Current advances in the management of gestational trophoblastic disease.Gynecol Oncol. 2013; 128(1): 3-5.
6. 6. Davies TF, Laurberg P, Bahn RS. Hyperthyroid Disorders. Williams Textbook of Endocrinology. 13th ed. Philadelphia, PA: Elsevier. 2016.Chapter 12: 369-415.
7. 7. Aydogan H, Yalcin S, Kucuk A, Yüce HH. Molar gebeliğin tetiklediği tiroid krizinde anestezik yaklaşım [Anesthetic management in thyroid crisis triggered by molar pregnancy] J Clin Exp Invest 2012; 3 (3): 433-4.
8. 8. Kim JM, Arakawa K, McCann V. Severe hyperthyroidism associated with hydatidiform mole. Anesthesiology 1976; 44445-8.

9. 9. Matsumoto S, Shingu C, Hidaka S, et al. Anesthetic management of a patient with hyperthyroidism due to hydatidiform mole. J Anesth 2009;23(4):594-6.
10. 10. Erturk E, Bostan H, Geze S, Saracoglu S, Erciyes N, Eroglu A. Total intravenous anesthesia for evacuation of a hydatiform mole and termination of pregnancy in a patient with thyrotoxicosis. Int J Obstet Anesth 2007;16 (4):363-6.