title: [Anesthetic management of a patient with pulmonary tuberous sclerosis complicated with renal angiomyolipoma].
abstract: A 55-year-old woman underwent total hysterectomy. She suffered from tuberous sclerosis and was complicated with lymphangioleiomyomatosis and renal angiomyolipoma. There have been only a few reports of anesthetic management on patients with these three diseases. Anesthesia was maintained with combined spinal-epidural anesthesia. Patients with tuberous sclerosis should be examined precisely. This case was managed carefully to avoid pneumothorax and acute bleeding from renal angiomyolipoma. There was no postoperative anesthesia-related complications.
authors.affiliation: Department of Anesthesiology, Osaka Rosai Hospital, Osaka 591-8025.
authors.forename: Kayoko
authors.initials: K
authors.lastname: Takahashi
authors.forename: Yoko
authors.initials: Y
authors.lastname: Yano
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Miyata
authors.forename: Takekazu
authors.initials: T
authors.lastname: Terai
mesh_terms: D000208:Acute Disease; D000767:Anesthesia, Epidural; D000775:Anesthesia, Spinal; D018207:Angiomyolipoma / Q000150:complications*; D016063:Blood Loss, Surgical / Q000517:prevention & control; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007431:Intraoperative Complications / Q000517:prevention & control; D007680:Kidney Neoplasms / Q000150:complications*; D018192:Lymphangioleiomyomatosis / Q000150:complications*; D008875:Middle Aged; D011030:Pneumothorax / Q000517:prevention & control; D014402:Tuberous Sclerosis / Q000150:complications*