[Spinal anesthesia for oophorectomy in a patient with pulmonary lymphangiomyomatosis accompanied by hypochondriasis].
A 41-year-old woman with pulmonary lymphangiomyomatosis had been scheduled for bilateral oophorectomy which led to amelioration of the pulmonary pathology. The discrepancy between her dyspnea on exertion and lung function tests suggested that she had a marked tendency toward hypochondria. Therefore, we chose spinal anesthesia because of its technical simplicity, rapid onset, and effectiveness of some sedatives used perioperatively. Surgery was performed uneventfully. The anesthetic method mentioned above did not worsen respiratory function perioperatively. Spinal anesthesia is thought to be appropriate anesthesia for patients with pulmonary lymphangiomyomatosis, if feasible.
Fukuda
H
H
Department of Anesthesiology, Jichi Medical School, Tochigi.
Saitoh
K
K
Hirabayashi
Y
Y
Mitsuhata
H
H
Kasuda
H
H
Akazawa
S
S
Shimizu
R
R
D000328:Adult; D000775:Anesthesia, Spinal; D005260:Female; D006801:Humans; D006998:Hypochondriasis / Q000150:complications*; D008175:Lung Neoplasms / Q000150:complications / Q000628:therapy; D018192:Lymphangioleiomyomatosis / Q000150:complications / Q000628:therapy; D010052:Ovariectomy