Korean J Anesthesiol.  2012 Oct;63(4):357-359. 10.4097/kjae.2012.63.4.357.

Epidural anesthesia for laparoscopic cholecystectomy in a patient with sickle cell anemia, beta thalassemia, and Crohn's disease: A case report

• Bas SS
• Ozlu O

• KMID: 1767176
• DOI: http://doi.org/10.4097/kjae.2012.63.4.357

Abstract

A 37-year-old woman diagnosed with sickle cell anemia (SCA), beta (+) thalassemia, Crohn's disease, and liver dysfunction was scheduled for laparoscopic cholecystectomy (LC) due to acute cholecystitis with gall bladder. Regional anesthesia was performed. An epidural catheter was inserted into the 9-10 thoracal epidural space and then 15 ml of 0.5% bupivacaine was injected through the catheter. The level of sensorial analgesia tested with pinprick test reached up to T4. Here we describe the first case of the combination of sickle cell anemia (SCA), beta (+) thalassemia, and Crohn's disease successful anesthetic management with attention to hemodynamics, particularly with regards to liver dysfunction.

Keyword

Epidural anesthesia; Laparoscopic cholecystectomy; Sickle cell anemia

MeSH Terms

Adult
Anemia, Sickle Cell
Anesthesia, Conduction
Anesthesia, Epidural
beta-Thalassemia
Bupivacaine
Catheters
Cholecystectomy, Laparoscopic
Cholecystitis, Acute
Crohn Disease
Epidural Space
Female
Hemodynamics
Humans
Liver Diseases
Pain Measurement
Thalassemia
Urinary Bladder
Bupivacaine