Cesarean section in a pregnant patient with an anterior mediastinal mass and failed supradiaphragmatic irradiation.
Nodular sclerosing Hodgkin's disease stages IA and IIA are the most common presentation of this disease during pregnancy. Patients presenting with late Hodgkin's disease with failed irradiation for cesarean section present a unique challenge. When this presentation occurs, a voluntary interruption of pregnancy is recommended. Upper body irradiation during the second trimester of pregnancy is recommended as well. We report a case involving a pregnant patient at 34 weeks' gestation presenting for cesarean section with a symptomatic anterior mediastinal mass occupying over 50% of the thoracic diameter. The anesthetic management was performed using continuous spinal.
Martin
W J
WJ
Department of Anesthesiology, Medical University of South Carolina, Charleston, USA.
D000328:Adult; D000773:Anesthesia, Obstetrical; D000775:Anesthesia, Spinal; D002585:Cesarean Section; D005260:Female; D006689:Hodgkin Disease / Q000000981:diagnostic imaging / Q000532:radiotherapy; D006801:Humans; D008479:Mediastinal Neoplasms / Q000000981:diagnostic imaging / Q000532:radiotherapy; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000000981:diagnostic imaging / Q000532:radiotherapy; D013902:Radiography, Thoracic; D017211:Treatment Failure