Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8617295 | International Journal of Obstetric Anesthesia | 2018 | 17 Pages |
Abstract
Mediastinal mass in pregnancy is a rare condition that presents significant anaesthetic challenges. We present a woman with relapsed Hodgkin's lymphoma during pregnancy who declined to have chemotherapy because of concerns for her unborn child. She failed to attend follow-up clinic appointments and presented at 33â¯weeks' gestation with tracheal deviation and narrowing down to the level of the carina, as a result of large neck and mediastinal masses. She required delivery of the baby to allow her to receive urgent chemotherapy. We describe successful management of a caesarean section under combined spinal-epidural anaesthesia, at which bilateral femoral vein access was gained in case of the need for urgent extracorporeal membrane oxygenation.
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Authors
A. Mahmood, M. Mushambi, R. Porter, M. Khare,