Molar Pregnancy- A Snowstorm Encounter: A Case Report
Abstract
Gestational trophoblastic disease (GTD) is a cluster of tumors which often had a lethal outcome in the past. As the years have passed, with better understanding of the pathophysiology fatalities have reduced and patients have been cured. On an anesthetic stand point these cases can be challenging to manage due to the emergency nature of the surgery and various systemic complications they may present with. We present to you a case of a 29-year-old female with molar pregnancy managed by spinal anesthesia.
[1] Biyani G, Mohammed S, Bhatia P. Anaesthetic Challenges in Molar Pregnancy. InIndian Anaesthetists' Forum. 2013; 14(7).
[2] Bruce S, Sorosky J. Gestational trophoblastic disease. InStatPearls [Internet] 2023. StatPearls Publishing.
[3] Swaminathan S, James RA, Chandran R, Joshi R. Anaesthetic implications of severe hyperthyroidism secondary to molar pregnancy: a case report and review of literature. Anesth Essays Res. 2017; 11(4):1115.
[4] Erturk EN, Bostan H, Geze S, Saracoglu S, Erciyes N, Eroglu AH. Total intravenous anesthesia for evacuation of a hydatidiform mole and termination of pregnancy in a patient with thyrotoxicosis. Int J Obstet Anesth. 2007; 16(4):363-6.
[5] Khanna P, Kumar A, Dehran M. Gestational trophoblastic disease with hyperthyroidism: Anesthetic management. J Obstet Anaesth Crit Care. 2012; 2(1):31-3.
[6] Sannaboraiah SK, Ramaswamy AH, Shaikh S. Thyroid disorders during pregnancy and anesthetic considerations. Anaesthesia, Pain & Intensive Care. 2019; 302-7.
[7] Solak M, Aktürk G. Spinal anesthesia in a patient with hyperthyroidism due to hydatidiform mole. Anesth Analg. 1993; 77(4):851-2.
[8] Kuthiala G, Chaudhary G. Ropivacaine: A review of its pharmacology and clinical use. Indian J Anaesth. 2011; 55(2):104-10.
[9] Park SK, Lee JH, Yoo S, Kim WH, Lim YJ, Bahk JH, et al. Comparison of bupivacaine plus intrathecal fentanyl and bupivacaine alone for spinal anesthesia with intravenous dexmedetomidine sedation: a randomized, double-blind, noninferiority trial. Reg Anesth Pain Med. 2019; 44(4):459-465.
[10] Deshpande JP, Ghodki PS, Sardesai SP. The analgesic efficacy of dexamethasone added to ropivacaine in transversus abdominis plane block for transabdominal hysterectomy under subarachnoid block. Anesth Essays Res. 2017; 11(2):499-502.
[11] Shalu PS, Ghodki PS. To study the efficacy of intravenous dexamethasone in prolonging the duration of spinal anesthesia in elective cesarean section. Anesth Essays Res. 2017; 11(2):321-5.
[12] Carroll R, Matfin G. Endocrine and metabolic emergencies: thyroid storm. Ther Adv Endocrinol Metab. 2010; 1(3):139-45.
[13] Richards E, Lopez MJ, Maani CV. Phenylephrine. [Updated 2023 Oct 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023.
[14] Bhatia S, Naithani U, Chhetty YKu PN, Jagtap SR, Agrawal I. Acute pulmonary edema after evacuation of molar pregnancy. Anaesthesia, Pain and Intensive Care. 2011; 15(2):114-7.
[15] Kurdi MS. Hydatidiform mole: A sour encounter with a grapy case. Indian J Anaesth. 2011; 55(2):171-3.
[2] Bruce S, Sorosky J. Gestational trophoblastic disease. InStatPearls [Internet] 2023. StatPearls Publishing.
[3] Swaminathan S, James RA, Chandran R, Joshi R. Anaesthetic implications of severe hyperthyroidism secondary to molar pregnancy: a case report and review of literature. Anesth Essays Res. 2017; 11(4):1115.
[4] Erturk EN, Bostan H, Geze S, Saracoglu S, Erciyes N, Eroglu AH. Total intravenous anesthesia for evacuation of a hydatidiform mole and termination of pregnancy in a patient with thyrotoxicosis. Int J Obstet Anesth. 2007; 16(4):363-6.
[5] Khanna P, Kumar A, Dehran M. Gestational trophoblastic disease with hyperthyroidism: Anesthetic management. J Obstet Anaesth Crit Care. 2012; 2(1):31-3.
[6] Sannaboraiah SK, Ramaswamy AH, Shaikh S. Thyroid disorders during pregnancy and anesthetic considerations. Anaesthesia, Pain & Intensive Care. 2019; 302-7.
[7] Solak M, Aktürk G. Spinal anesthesia in a patient with hyperthyroidism due to hydatidiform mole. Anesth Analg. 1993; 77(4):851-2.
[8] Kuthiala G, Chaudhary G. Ropivacaine: A review of its pharmacology and clinical use. Indian J Anaesth. 2011; 55(2):104-10.
[9] Park SK, Lee JH, Yoo S, Kim WH, Lim YJ, Bahk JH, et al. Comparison of bupivacaine plus intrathecal fentanyl and bupivacaine alone for spinal anesthesia with intravenous dexmedetomidine sedation: a randomized, double-blind, noninferiority trial. Reg Anesth Pain Med. 2019; 44(4):459-465.
[10] Deshpande JP, Ghodki PS, Sardesai SP. The analgesic efficacy of dexamethasone added to ropivacaine in transversus abdominis plane block for transabdominal hysterectomy under subarachnoid block. Anesth Essays Res. 2017; 11(2):499-502.
[11] Shalu PS, Ghodki PS. To study the efficacy of intravenous dexamethasone in prolonging the duration of spinal anesthesia in elective cesarean section. Anesth Essays Res. 2017; 11(2):321-5.
[12] Carroll R, Matfin G. Endocrine and metabolic emergencies: thyroid storm. Ther Adv Endocrinol Metab. 2010; 1(3):139-45.
[13] Richards E, Lopez MJ, Maani CV. Phenylephrine. [Updated 2023 Oct 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023.
[14] Bhatia S, Naithani U, Chhetty YKu PN, Jagtap SR, Agrawal I. Acute pulmonary edema after evacuation of molar pregnancy. Anaesthesia, Pain and Intensive Care. 2011; 15(2):114-7.
[15] Kurdi MS. Hydatidiform mole: A sour encounter with a grapy case. Indian J Anaesth. 2011; 55(2):171-3.
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| Issue | Article in Press |
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| Section | Case Report(s) | |
| Keywords | ||
| Molar pregnancy Hyperthyroidism Spinal anaesthesia | ||
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How to Cite
1.
Deshpande J, Singhi H. Molar Pregnancy- A Snowstorm Encounter: A Case Report. Arch Anesth & Crit Care. 2024;.
