Korean J Anesthesiol.  2009 Dec;57(6):793-795. 10.4097/kjae.2009.57.6.793.

Anesthetic management for cesarean section in a patient with Budd-Chiari syndrome: A case report

• Song JE
• Yang HJ
• Park SC
• Chun DH
• Chung KH
• Lee JY

• KMID: 2239805
• DOI: http://doi.org/10.4097/kjae.2009.57.6.793

Abstract

Budd-Chiari syndrome (BCS) represents a spectrum of disease states resulting in hepatic venous outflow occlusion. Prothrombotic disorders, such as protein S deficiency may cause thrombosis of the portal and hepatic veins. We report the management of a 30-year-old BCS primigravida with protein S deficiency and destroyed lung by the pulmonary tuberculosis scheduled for Cesarean section. Moreover, patient's lungs were destroyed by the pulmonary tuberculosis. Spinal anesthesia was selected for the anesthetic management. The patient recovered without any complication and discharged from hospital on the fifth postoperative day.

Keyword

Budd-Chiari syndrome; Cesarean section; Protein S deficiency; Spinal anesthesia; Tuberculous destroyed lung

MeSH Terms

Adult
Anesthesia, Spinal
Budd-Chiari Syndrome
Cesarean Section
Female
Hepatic Veins
Humans
Lung
Pregnancy
Protein S Deficiency
Thrombosis
Tuberculosis, Pulmonary