Anesthetic management of a patient with pulmonary tuberous sclerosis complicated with renal angiomyolipoma

A 55-year-old woman underwent total hysterectomy. She suffered from tuberous sclerosis and was complicated with lymphangioleiomyomatosis and renal angiomyolipoma. There have been only a few reports of anesthetic management on patients with these three diseases. Anesthesia was maintained with combine...

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Bibliographic Details
Published inMasui. The Japanese journal of anesthesiology Vol. 58; no. 5; p. 641
Main Authors Takahashi, Kayoko, Yano, Yoko, Miyata, Yoshihisa, Terai, Takekazu
Format Journal Article
LanguageJapanese
Published Japan 01.05.2009
Subjects
Acute Disease
Anesthesia, Epidural
Anesthesia, Spinal
Angiomyolipoma - complications
Blood Loss, Surgical - prevention & control
Female
Humans
Hysterectomy
Intraoperative Complications - prevention & control
Kidney Neoplasms - complications
Lymphangioleiomyomatosis - complications
Middle Aged
Pneumothorax - prevention & control
Tuberous Sclerosis - complications
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Summary:A 55-year-old woman underwent total hysterectomy. She suffered from tuberous sclerosis and was complicated with lymphangioleiomyomatosis and renal angiomyolipoma. There have been only a few reports of anesthetic management on patients with these three diseases. Anesthesia was maintained with combined spinal-epidural anesthesia. Patients with tuberous sclerosis should be examined precisely. This case was managed carefully to avoid pneumothorax and acute bleeding from renal angiomyolipoma. There was no postoperative anesthesia-related complications.
ISSN:0021-4892