Clin Case Rep Int | Volume 2, Issue 1 | Case Report | Open Access

Anesthetic Management for a Cesarean Delivery in a Pregnancy Complicated by Uterus Polymyomatosus: A Case Report

Tina Maes^*, Milica Matic and Jan Poelaert

Department of Anesthesiology and Preoperative Medicine, University Hospital of Brussels, Belgium

^*Correspondance to: Tina Maes 

Abstract

Benign uterine leiomyomas are the most common pelvic tumors, impairing natural delivery. We report a case of uterus polymyomatosus and recurrent pleural effusions before and during pregnancy. A 35-year-oldpatient, with Congolese origin, underwent an urgent cesarean delivery because of acute vaginal blood loss, premature uterine contractions and persistent transverse position of the fetus.The patient was treated with a high lumbar epidural catheter and bilateral intercostal block, permitting a high level of incision. We demonstrate the importance of preoperative multidisciplinary consultation in complex obstetric cases. Ultrasound guidance could be of help to verify the correct level for epidural and intercostal puncture.

Keywords:

Cesarean delivery; Epidural catheter; Intercostal block; Ultrasound; Uterus myomatosus

Citation:

Maes T, Matic M, Poelaert J. Anesthetic Management for a Cesarean Delivery in a Pregnancy Complicated by Uterus Polymyomatosus: A Case Report. Clin Case Rep Int. 2018; 2: 1045.