[Anesthetic management for cesarean delivery in a patient with May-Hegglin anomaly].
May-Hegglin anomaly (MHA) is a rare hereditary disorder characterized by thrombocytopenia and giant thrombocytes and continuous appearance of inclusion bodies (Dohle like corpuscles) in the cytoplasm of granulocytes. A 26-year-old woman with MHA underwent cesarean delivery under general anesthesia, although she had no history of bleeding. The platelet count was 4.9x10(4) microgl(-1) the day before surgery. There was no unusual bleeding during and after the operation and we did not give her platelet transfusion.
Takabayashi
Reina
R
Department of Anesthesiology, St. Mariannna University School of Medicine, Yokohama City Seibu Hospital, Yokohama 216-0811.
Nishikido
Osamu
O
Nagano
Kazuko
K
Doi
Akiko
A
Nishisako
Ryou
R
Tateda
Takeshi
T
D000768:Anesthesia, General; D000773:Anesthesia, Obstetrical; D001792:Blood Platelets / Q000473:pathology*; D002585:Cesarean Section; D005260:Female; D006098:Granulocytes / Q000648:ultrastructure*; D006801:Humans; D002479:Inclusion Bodies / Q000473:pathology*; D019990:Perioperative Care; D010976:Platelet Count; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic; D011256:Pregnancy Outcome; D013921:Thrombocytopenia