Berrin GÜNAYDIN, Halis ÖZDEMİR, Zeynep DİLMEN, Merih BAYRAM

Tirotoksikozlu Hidatidiform Molar Gebeliği Olan Hastada Spinal Anestezi Yönetimi

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.

Anahtar Kelimeler:

Molar gebelik, tirotoksikoz, spinal anestezi

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

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,

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