title: [Emergent Caesarean Section in a Patient with a Mediastinal Tumor and Von Recklinghausen Disease: A Case Report].
abstract: It is rare to encounter a pregnant patient with a mediastinal tumor, and if the tumor size increases as the pregnancy progresses, this increase can cause complications such as airway constriction and vascular occlusion. We report a case of a pregnant patient diagnosed with von Recklinghausen disease at the age of seven and diagnosed with a mediastinal tumors just after her present admission. The impending suffocation progressed and fetal heart rate decreased during her hospitalization. Her trachea was intubated and she was moved to an operating room for an emergent cesarean section under general anesthesia. With this rapid response, we could rescue both patient and infant. If the size of mediastinal tumor increases as pregnancy progresses, the tumor will cause suffocation by airway compression from the outside, in addition to specific airway edema on the inward side. The present case demonstrates that appropriate desisoins must be made for airway manegement and initiation of surgery.
authors.forename: Mayuko
authors.initials: M
authors.lastname: Owada
authors.forename: Shinichi
authors.initials: S
authors.lastname: Inomata
authors.forename: Masato
authors.initials: M
authors.lastname: Danmura
authors.forename: Kumiko
authors.initials: K
authors.lastname: Yamada
authors.forename: Makoto
authors.initials: M
authors.lastname: Tanaka
mesh_terms: D000328:Adult; D000768:Anesthesia, General; D002585:Cesarean Section; D005260:Female; D006801:Humans; D008479:Mediastinal Neoplasms / Q000150:complications* / Q000601:surgery; D009456:Neurofibromatosis 1 / Q000150:complications*; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic; D014057:Tomography, X-Ray Computed