title: Anesthetic management of a parturient with fetal sacrococcygeal teratoma and mirror syndrome complicated by elevated hCG and subsequent hyperthyroidism.
abstract: Mirror syndrome is a condition in which the mother "mirrors" her hydropic fetus and/or hydropic placenta. Physical and laboratory findings of mirror syndrome include generalized edema, hypertension, and proteinuria similar to preeclampsia. However, unlike preeclampsia, mirror syndrome is associated with hemodilutional anemia and fluid overload, which may progress to pulmonary edema. The anesthetic management of a parturient with fetal sacrococcygeal teratoma, hydrops fetalis, and mirror syndrome complicated by markedly elevated maternal serum human chorionic gonadotropin and subsequent clinical hyperthyroidism, is presented.
authors.affiliation: Department of Anesthesiology, Magee-Womens Hospital, Pittsburgh, PA 15213, USA.
authors.forename: Spring M
authors.initials: SM
authors.lastname: McCann
authors.forename: Stephen P
authors.initials: SP
authors.lastname: Emery
authors.forename: Manuel C
authors.initials: MC
authors.lastname: Vallejo
mesh_terms: D000773:Anesthesia, Obstetrical; D006063:Chorionic Gonadotropin / Q000097:blood*; D004487:Edema / Q000209:etiology; D005260:Female; D005315:Fetal Diseases; D005333:Fetus / Q000601:surgery; D006801:Humans; D015160:Hydrops Fetalis; D046110:Hypertension, Pregnancy-Induced / Q000209:etiology; D006980:Hyperthyroidism / Q000097:blood / Q000150:complications*; D007751:Labor, Induced; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D011507:Proteinuria / Q000150:complications; D013724:Teratoma / Q000150:complications*; D055815:Young Adult
chemical_list: D006063:Chorionic Gonadotropin